Coastal Prosthetic & Orthotic Laboratory Inc in Murrells Inlet - Prosthetic/orthotic Supplier
Coastal Prosthetic & Orthotic Laboratory Inc - NPI 1720079262
Coastal Prosthetic & Orthotic Laboratory Inc is a Prosthetic/orthotic Supplier in Murrells Inlet, South Carolina. Coastal Prosthetic & Orthotic Laboratory Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Coastal Prosthetic & Orthotic Laboratory Inc is 1720079262. The last update date is 2010-12-28.
Coastal Prosthetic & Orthotic Laboratory Inc's current location address is 11871 Plaza Drive, Murrells Inlet, South Carolina. You can contact this provider via phone number 8436518570 and fax number 8436512461. The mailing address for Coastal Prosthetic & Orthotic Laboratory Inc is 11871 Plaza Drive, Murrells Inlet, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Prosthetic & Orthotic Laboratory Inc |
|---|---|
| Address | 11871 Plaza Drive, Murrells Inlet, South Carolina |
| Phone Number | 8436518570 |
| Fax Number | 8436512461 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vann C William |
| Credentials | CPO |
| Telephone Number | 8436518570 |
NPI Number Detail
| NPI Number | 1720079262 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2010-12-28 |
Provider Mailing Address Detail
| Address | 11871 Plaza Drive |
|---|---|
| City | Murrells Inlet |
| State | South Carolina (SC) |
| Post Code | 295769351 |
| Phone Number | 8436518570 |
| Fax Number | 8436512461 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 26218673 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 557506 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Coastal Prosthetic & Orthotic Laboratory Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Coastal Prosthetic & Orthotic Laboratory Inc has been assigned the NPI (National Provider Identifier) 1720079262. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Coastal Prosthetic & Orthotic Laboratory Inc's facilities are geographically located?
The facilities of Coastal Prosthetic & Orthotic Laboratory Inc are physically situated at the following location: 11871 Plaza Drive, Murrells Inlet, SC, 295769351.
What is the Coastal Prosthetic & Orthotic Laboratory Inc's area of specialization and corresponding taxonomy classification?
The Coastal Prosthetic & Orthotic Laboratory Inc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720079262 to Coastal Prosthetic & Orthotic Laboratory Inc?
The Centers for Medicare & Medicaid Services originally issued the 1720079262 to Coastal Prosthetic & Orthotic Laboratory Inc on 2005-11-03.
When was the information regarding Coastal Prosthetic & Orthotic Laboratory Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Coastal Prosthetic & Orthotic Laboratory Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-12-28.