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MID SOUTH ARTIFICIAL LIMB CO. LLC NPI 1285709675


NPI Information

NPI: 1285709675
Provider Name: MID SOUTH ARTIFICIAL LIMB CO., LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
903 BROADWAY ST
DELHI, LA
ZIP 71232
Phone: (318) 878-0803
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MID SOUTH ARTIFICIAL LIMB CO., LLC is a prosthetic orthotic supplier in Delhi, LA. 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. MID SOUTH ARTIFICIAL LIMB CO., LLC NPI is 1285709675. The provider is registered as an organization entity type.

The provider's business location address is:

903 BROADWAY ST
DELHI, LA
ZIP 71232-401
Phone: (318) 878-0803
Fax: (318) 878-0807

The provider's authorized official is Peggy J Hancock .
The authorized official title is Manager and has the following contact phone number (318) 878-0803.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 6/22/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier6818306001LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14899270001MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAMEDICARE PROVIDER #

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: 5/5/2024

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