Provider Type Icon

ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE INC NPI 1679630032


NPI Information

NPI: 1679630032
Provider Name: ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 46D0948038

Address:
1515 N. 400 E
LOGAN, UT
ZIP 84341
Phone: (435) 753-5100
Get Directions

ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC is a prosthetic orthotic supplier in Logan, UT. 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. ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC NPI is 1679630032. The provider is registered as an organization entity type.

The provider's business location address is:

1515 N. 400 E
LOGAN, UT
ZIP 84341
Phone: (435) 753-5100
Fax: (435) 753-5105

The provider's authorized official is Aaron Kratohvil .
The authorized official title is Controller and has the following contact phone number (615) 550-8760.

The CLIA number assigned to this NPI record is 46D0948038 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 10/10/2017.


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 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
10258570003MEDICARE NSCUTAH
20258570003MEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.