Custom Care Orthotics, Inc in Minneapolis - Prosthetic/orthotic Supplier
Custom Care Orthotics, Inc - NPI 1447222054
Custom Care Orthotics, Inc is a Prosthetic/orthotic Supplier in Minneapolis, Minnesota. Custom Care Orthotics, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Custom Care Orthotics, Inc is 1447222054. The last update date is 2020-08-22.
Custom Care Orthotics, Inc's current location address is 910 E 26th St, Minneapolis, Minnesota. You can contact this provider via phone number 6128715000 and fax number 6128713800. The mailing address for Custom Care Orthotics, Inc is 910 E 26th St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Care Orthotics, Inc |
|---|---|
| Address | 910 E 26th St, Minneapolis, Minnesota |
| Phone Number | 6128715000 |
| Fax Number | 6128713800 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ORTH |
|---|---|
| Authorized Official Name | Hentges Jean Carol |
| Credentials | C.O. |
| Telephone Number | 6128715000 |
NPI Number Detail
| NPI Number | 1447222054 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 910 E 26th St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554044526 |
| Phone Number | 6128715000 |
| Fax Number | 6128713800 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82-00444 | MN | SELECT CARE | |
| 164659 | MN | UCARE MINNESOTA | |
| 165L9CU | MN | BLUE CROSS BLUE SHIELD | |
| 96446 | MN | HEALTH PARTNERS | |
| 82-00444 | MN | UNITED HEALTH CARE | |
| 1035214 | MN | PREFERRED ONE | |
| 82-00444 | MN | MEDICA |
Post Comment/ Review Below
What is the Custom Care Orthotics, Inc's unique identification number?
The Custom Care Orthotics, Inc has been assigned the NPI (National Provider Identifier) Number 1447222054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Custom Care Orthotics, Inc is physically located?
The Custom Care Orthotics, Inc is situated at the following address: 910 E 26Th St, Minneapolis, MN 554044526.
What is Custom Care Orthotics, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Custom Care Orthotics, Inc is Prosthetic/orthotic Supplier, and the taxonomy classification code that categorizes this area of expertise is 335E00000X.
On what date did the Custom Care Orthotics, Inc receive the assignment of its 1447222054 from the Centers for Medicare & Medicaid Services?
The Custom Care Orthotics, Inc was issued its 1447222054 by the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the information pertaining to Custom Care Orthotics, Inc most recently updated or revised?
The details related to Custom Care Orthotics, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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