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FARTHEST NORTH PROSTHETICS AND ORTHOTICS NPI 1295930600


NPI Information

NPI: 1295930600
Provider Name: FARTHEST NORTH PROSTHETICS AND ORTHOTICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3520 INDUSTRIAL AVE
FAIRBANKS, AK
ZIP 99701
Phone: (907) 455-9255
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FARTHEST NORTH PROSTHETICS AND ORTHOTICS is a prosthetic orthotic supplier in Fairbanks, AK. 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. FARTHEST NORTH PROSTHETICS AND ORTHOTICS NPI is 1295930600. The provider is registered as an organization entity type.

The provider's business location address is:

3520 INDUSTRIAL AVE
FAIRBANKS, AK
ZIP 99701-376
Phone: (907) 455-9255
Fax: (907) 455-6532

The provider's authorized official is Raymond Gilligan .
The authorized official title is Prosthetist Orthotist and has the following contact phone number (907) 455-9255.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 12/31/2008.


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
1335E00000XProsthetic/Orthotic SupplierBL272686ALASKAYes

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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