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CLARKSVILLE LIMB & BRACE & REHAB. INC. NPI 1275538860


NPI Information

NPI: 1275538860
Provider Name: CLARKSVILLE LIMB & BRACE & REHAB., INC.

Doing Business As: BOWLING GREEN ORTHOTICS & PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 44D1071161

Address:
1711 ASHLEY CIR STE 8
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 780-0073
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CLARKSVILLE LIMB & BRACE & REHAB., INC. is a prosthetic orthotic supplier in Bowling Green, KY. 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. CLARKSVILLE LIMB & BRACE & REHAB., INC. NPI is 1275538860. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bowling Green Orthotics & Prosthetics.

The provider's business location address is:

1711 ASHLEY CIR STE 8
BOWLING GREEN, KY
ZIP 42104-801
Phone: (270) 780-0073
Fax: (270) 782-9962

The provider's authorized official is Sumesh Saxena .
The authorized official title is Owner Of Bionic and has the following contact phone number (219) 791-9200.

The CLIA number assigned to this NPI record is 44D1071161 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 3/2/2022.


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
11744P3200XSpecialistProsthetics Case ManagementNo
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
190262569MEDICAIDKENTUCKY
2000000190035OTHERANTHEM

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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