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YANKEE MEDICAL INC NPI 1174528640


NPI Information

NPI: 1174528640
Provider Name: YANKEE MEDICAL INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
276 NORTH AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 863-4591
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YANKEE MEDICAL INC is a prosthetic orthotic supplier in Burlington, VT. 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. YANKEE MEDICAL INC NPI is 1174528640. The provider is registered as an organization entity type.

The provider's business location address is:

276 NORTH AVE
BURLINGTON, VT
ZIP 05401-918
Phone: (802) 863-4591
Fax: (802) 658-3101

The provider's authorized official is John Nicholas Ficociello .
The authorized official title is President and has the following contact phone number (802) 863-4591.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 5/7/2008.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/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
10241810004MEDICARE NSCVERMONT
2YAV7330OTHERVERMONTDME/BCBS
399007330MEDICAIDNEW HAMPSHIRE
41505OTHERVERMONTDME/MVP
51200915YONH01OTHERNEW HAMPSHIREDME/BCBS OF NH
6=========OTHERVERMONTDME/OTHER INSURANCES
700358269MEDICAIDNEW YORK
87502028MEDICAIDMASSACHUSETTS
90007330MEDICAIDVERMONT

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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