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FS GRAND RAPIDS SOUTH LLC NPI 1003126400


NPI Information

NPI: 1003126400
Provider Name: FS GRAND RAPIDS SOUTH, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
6750 KALAMAZOO AVE SE
SUITE E
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 698-7200
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FS GRAND RAPIDS SOUTH, LLC is a prosthetic orthotic supplier in Grand Rapids, MI. 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. FS GRAND RAPIDS SOUTH, LLC NPI is 1003126400. The provider is registered as an organization entity type.

The provider's business location address is:

6750 KALAMAZOO AVE SE
SUITE E
GRAND RAPIDS, MI
ZIP 49508-897
Phone: (616) 698-7200
Fax: (616) 698-7212

The provider's authorized official is Robert L Skinner .
The authorized official title is Owner and has the following contact phone number (616) 698-7200.

The enumeration date for this NPI number is 10/19/2010 and was last updated on 10/19/2010.


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 SupplierCPED3429MICHIGANNo
2335E00000XProsthetic/Orthotic SupplierCPED3413MICHIGANYes

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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