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ORTHOPRO OF TWIN FALLS INC NPI 1689706053


NPI Information

NPI: 1689706053
Provider Name: ORTHOPRO OF TWIN FALLS, INC
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
1437 PARKVIEW DR STE 200
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-0505
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ORTHOPRO OF TWIN FALLS, INC is a prosthetics case management specialist in Twin Falls, ID. ORTHOPRO OF TWIN FALLS, INC NPI is 1689706053. The provider is registered as an organization entity type.

The provider's business location address is:

1437 PARKVIEW DR STE 200
TWIN FALLS, ID
ZIP 83301-167
Phone: (208) 733-0505
Fax: (208) 735-2117

The provider's authorized official is Michael Scott Johnson .
The authorized official title is Owner/cpo and has the following contact phone number (208) 733-0505.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 1/7/2021.


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 SupplierNo
21744P3200XSpecialistProsthetics Case ManagementYes

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
1806646900MEDICAIDIDAHO

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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