Amputee Service Center, Llc in Jackson - Prosthetic/orthotic Supplier
Amputee Service Center, Llc - NPI 1851382295
Amputee Service Center, Llc is a Prosthetic/orthotic Supplier in Jackson, Michigan. Amputee Service Center, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Amputee Service Center, Llc is 1851382295. The last update date is 2022-12-02.
Amputee Service Center, Llc's current location address is 805 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177841142 and fax number 8772720290. The mailing address for Amputee Service Center, Llc is 805 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Amputee Service Center, Llc |
|---|---|
| Address | 805 W Michigan Ave, Jackson, Michigan |
| Phone Number | 5177841142 |
| Fax Number | 8772720290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REG COMPLI |
|---|---|
| Authorized Official Name | Angeline Grace |
| Telephone Number | 7149612102 |
NPI Number Detail
| NPI Number | 1851382295 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
| Address | 805 W Michigan Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492024103 |
| Phone Number | 5177841142 |
| Fax Number | 8772720290 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3263669 | MI | -- | |
| 0C80701 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amputee Service Center, Llc by the Centers for Medicare & Medicaid Services?
The Amputee Service Center, Llc has been issued the NPI (National Provider Identifier) 1851382295 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Amputee Service Center, Llc is located?
The Amputee Service Center, Llc is situated at the following address: 805 W Michigan Ave, Jackson, MI, 492024103.
What is the area of specialization for Amputee Service Center, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amputee Service Center, Llc is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851382295 to Amputee Service Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1851382295 to Amputee Service Center, Llc on 2005-11-03.
As of what date were the details related to Amputee Service Center, Llc most recently updated or revised?
The information pertaining to Amputee Service Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-02.