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ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE INC NPI 1265420616


NPI Information

NPI: 1265420616
Provider Name: ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2230 E 25TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-3230
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ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC is a prosthetic orthotic supplier in Idaho Falls, ID. 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. ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC NPI is 1265420616. The provider is registered as an organization entity type.

The provider's business location address is:

2230 E 25TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-3230
Fax: (208) 524-3231

The provider's authorized official is Aaron Kratohvil .
The authorized official title is Controller and has the following contact phone number (615) 550-8760.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 10/10/2017.


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
1002498200MEDICAIDIDAHO
20258570001MEDICARE NSCIDAHO
3100005500MEDICAIDWYOMING
489748OTHERIDAHOIF BLUE CROSS
5071705OTHERIDAHOBLUE SHIELD
689730OTHERIDAHOPOC BLUE CROSS ID#

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: 11/14/2023

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