COSHOCTON COUNTY FOOT & ANKLE CENTER INC NPI 1649437872

NPI Information

NPI: 1649437872
Provider Name: COSHOCTON COUNTY FOOT & ANKLE CENTER, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

CLIA Number: 36D0963101

Address:
1100 FAIRY FALLS DR
SUITE 5
COSHOCTON, OH
ZIP 43812
Phone: (740) 622-0338
Get Directions

COSHOCTON COUNTY FOOT & ANKLE CENTER, INC is a customized equipment durable medical equipment medical supplies in Coshocton, OH. COSHOCTON COUNTY FOOT & ANKLE CENTER, INC NPI is 1649437872. The provider is registered as an organization entity type.

The provider's business location address is:

1100 FAIRY FALLS DR
SUITE 5
COSHOCTON, OH
ZIP 43812-803
Phone: (740) 622-0338
Fax: (888) 730-2212

The provider's authorized official is Katie L Litsey .
The authorized official title is Office Manager and has the following contact phone number (740) 622-0338.

The CLIA number assigned to this NPI record is 36D0963101 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 1/30/2019.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	2656	OHIO	Yes
2	335E00000X	Prosthetic/Orthotic Supplier		2656	OHIO	No

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
1	2832582	MEDICAID	OHIO

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

NPI Synchronization or Removal

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