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SOUTH COAST ORTHOPEDIC TECHNOLOGY NPI 1023205853


NPI Information

NPI: 1023205853
Provider Name: SOUTH COAST ORTHOPEDIC TECHNOLOGY
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
535 FAUNCE CORNER RD
SUITE 201
N DARTMOUTH, MA
ZIP 02747
Phone: (508) 998-7268
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SOUTH COAST ORTHOPEDIC TECHNOLOGY is a prosthetic orthotic supplier in N Dartmouth, MA. 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. SOUTH COAST ORTHOPEDIC TECHNOLOGY NPI is 1023205853. The provider is registered as an organization entity type.

The provider's business location address is:

535 FAUNCE CORNER RD
SUITE 201
N DARTMOUTH, MA
ZIP 02747-242
Phone: (508) 998-7268
Fax: (508) 998-7267

The provider's authorized official is Randy Scott Penney .
The authorized official title is President and has the following contact phone number (508) 998-7268.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 3/5/2010.


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 SupplierYes

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
1401154OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
21528866MEDICAIDMASSACHUSETTS
35386930001MEDICARE NSCMASSACHUSETTS
4811333OTHERMASSACHUSETTSTUFTS

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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