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PROSTHETIC CARE INC NPI 1417951930


NPI Information

NPI: 1417951930
Provider Name: PROSTHETIC CARE INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1009 GROVE RD
STE B1
GREENVILLE, SC
ZIP 29605
Phone: (864) 370-2010
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PROSTHETIC CARE INC is a prosthetic orthotic supplier in Greenville, SC. 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. PROSTHETIC CARE INC NPI is 1417951930. The provider is registered as an organization entity type.

The provider's business location address is:

1009 GROVE RD
STE B1
GREENVILLE, SC
ZIP 29605-658
Phone: (864) 370-2010
Fax: (864) 370-1611

The provider's authorized official is Sheryl Sheffield Price .
The authorized official title is Director Of Reimbursement and has the following contact phone number (503) 493-8288.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 10/24/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
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
17701712MEDICAIDNORTH CAROLINA
20262170001MEDICARE NSC
3DME191MEDICAIDSOUTH CAROLINA

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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