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MEDSOURCE ORTHOTICS & PROSTHETICS NPI 1104968288


NPI Information

NPI: 1104968288
Provider Name: MEDSOURCE ORTHOTICS & PROSTHETICS

Doing Business As: HAMILTON PROSTHETIC CENTER

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
14821 N DEL WEBB BLVD
SUITE 24
SUN CITY, AZ
ZIP 85351
Phone: (623) 815-1001
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MEDSOURCE ORTHOTICS & PROSTHETICS is a prosthetic orthotic supplier in Sun City, AZ. 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. MEDSOURCE ORTHOTICS & PROSTHETICS NPI is 1104968288. The provider is registered as an organization entity type.
The provider Is Doing Business As Hamilton Prosthetic Center.

The provider's business location address is:

14821 N DEL WEBB BLVD
SUITE 24
SUN CITY, AZ
ZIP 85351
Phone: (623) 815-1001
Fax: (623) 815-1441

The provider's authorized official is David Charles .
The authorized official title is President and has the following contact phone number (801) 255-5202.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 5/15/2018.


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

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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