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CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC NPI 1720014210


NPI Information

NPI: 1720014210
Provider Name: CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
693 HI TECH PARKWAY
OAKDALE, CA
ZIP 95361
Phone: (209) 845-8231
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CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC is a prosthetic orthotic supplier in Oakdale, CA. 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. CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC NPI is 1720014210. The provider is registered as an organization entity type.

The provider's business location address is:

693 HI TECH PARKWAY
OAKDALE, CA
ZIP 95361
Phone: (209) 845-8231
Fax: (209) 845-2883

The provider's authorized official is Jennifer Cree .
The authorized official title is Contract Cordinator and has the following contact phone number (209) 845-8231.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/26/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10246970002MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GXC000861MEDICAIDCALIFORNIA

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: 5/5/2024

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