Active Mobility Upstate Llc in Spartanburg - Prosthetic/orthotic Supplier
Active Mobility Upstate Llc - NPI 1871780742
Active Mobility Upstate Llc is a Prosthetic/orthotic Supplier in Spartanburg, South Carolina. Active Mobility Upstate Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Active Mobility Upstate Llc is 1871780742. The last update date is 2017-06-26.
Active Mobility Upstate Llc's current location address is 115 Garner Road, Spartanburg, South Carolina. You can contact this provider via phone number 8645410028 and fax number 8645410027. The mailing address for Active Mobility Upstate Llc is 115 Garner Road, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Mobility Upstate Llc |
|---|---|
| Address | 115 Garner Road, Spartanburg, South Carolina |
| Phone Number | 8645410028 |
| Fax Number | 8645410027 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hooper R Clarence |
| Credentials | CPO |
| Telephone Number | 8435779577 |
NPI Number Detail
| NPI Number | 1871780742 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2017-06-26 |
Provider Mailing Address Detail
| Address | 115 Garner Road |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 29303 |
| Phone Number | 8645410028 |
| Fax Number | 8645410027 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 42523929 |
|
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 |
|---|---|---|---|
| DE3088 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Active Mobility Upstate Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Active Mobility Upstate Llc has been assigned the NPI (National Provider Identifier) 1871780742. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Active Mobility Upstate Llc?
The Active Mobility Upstate Llc is physically situated at 115 Garner Road, in the city of Spartanburg, state of SC, with the postal code 29303.
What is Active Mobility Upstate Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Active Mobility Upstate Llc is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
When did Active Mobility Upstate Llc receive its 1871780742 assignment?
The Active Mobility Upstate Llc was assigned its 1871780742 on 2007-09-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Active Mobility Upstate Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Active Mobility Upstate Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-06-26.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC