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CHARLESTON ORTHOPEDIC APPLIANCES INC NPI 1649203670


NPI Information

NPI: 1649203670
Provider Name: CHARLESTON ORTHOPEDIC APPLIANCES INC

Doing Business As: CHARLESTON ORTHPEDIC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1532 KANAWHA BLVD W
CHARLESTON, WV
ZIP 25312
Phone: (304) 343-8994
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CHARLESTON ORTHOPEDIC APPLIANCES INC is a prosthetic orthotic supplier in Charleston, WV. The provider is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CHARLESTON ORTHOPEDIC APPLIANCES INC NPI is 1649203670. The provider is registered as an organization entity type.
The provider Is Doing Business As Charleston Orthpedic.

The provider's business location address is:

1532 KANAWHA BLVD W
CHARLESTON, WV
ZIP 25312-533
Phone: (304) 343-8994
Fax: (304) 720-2078

The provider's authorized official is Cecil A Tankersley .
The authorized official title is President and has the following contact phone number (304) 343-8994.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/29/2009.


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
1335E00000XProsthetic/Orthotic SupplierNOT APPLICABLEWEST VIRGINIAYes

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
1000201174OTHERWEST VIRGINIABLUE CROSS & BLUE SHIELD
22417067MEDICAIDOHIO
30577580001MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAPROVIDER NUMBER
40148049000MEDICAIDWEST VIRGINIA

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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