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ST. MATTHEWS FOOT AND ANKLE CLINIC NPI 1083662704


NPI Information

NPI: 1083662704
Provider Name: ST. MATTHEWS FOOT AND ANKLE CLINIC

Doing Business As: FEET FIRST

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
117 S HUBBARDS LN
SUITE 102
LOUISVILLE, KY
ZIP 40207
Phone: (270) 433-5806
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ST. MATTHEWS FOOT AND ANKLE CLINIC is a customized equipment durable medical equipment medical supplies in Louisville, KY. ST. MATTHEWS FOOT AND ANKLE CLINIC NPI is 1083662704. The provider is registered as an organization entity type.
The provider Is Doing Business As Feet First.

The provider's business location address is:

117 S HUBBARDS LN
SUITE 102
LOUISVILLE, KY
ZIP 40207-937
Phone: (270) 433-5806
Fax: (270) 433-2443

The provider's authorized official is Cindy Shoopman .
The authorized official title is Office Manager and has the following contact phone number (270) 433-5806.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 12/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment195KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERKENTUCKYTAX ID
2000000290617OTHERKENTUCKYBLUECROSS
34349240001MEDICARE NSCKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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