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ADVANCED PROSTHETIC SERVICES INC. NPI 1023213295


NPI Information

NPI: 1023213295
Provider Name: ADVANCED PROSTHETIC SERVICES, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 04D1068869

Address:
2930 E MOORE AVE
SEARCY, AR
ZIP 72143
Phone: (501) 368-0868
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ADVANCED PROSTHETIC SERVICES, INC. is a prosthetic orthotic supplier in Searcy, AR. 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. ADVANCED PROSTHETIC SERVICES, INC. NPI is 1023213295. The provider is registered as an organization entity type.

The provider's business location address is:

2930 E MOORE AVE
SEARCY, AR
ZIP 72143-831
Phone: (501) 368-0868
Fax: (501) 368-0003

The provider's authorized official is Ella Beth Durham .
The authorized official title is Prosthetist and has the following contact phone number (501) 368-0868.

The CLIA number assigned to this NPI record is 04D1068869 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 2/18/2015.


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
1157554716MEDICAIDARKANSAS
25371100001MEDICARE NSCARKANSAS

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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