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RIVERSIDE PROSTHETIC INC. NPI 1841296340


NPI Information

NPI: 1841296340
Provider Name: RIVERSIDE PROSTHETIC, INC.

Doing Business As: RIVERSIDE ORTHOTICS AND PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
5921 VOGEL RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 479-7577
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RIVERSIDE PROSTHETIC, INC. is a prosthetic orthotic supplier in Evansville, IN. 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. RIVERSIDE PROSTHETIC, INC. NPI is 1841296340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Orthotics And Prosthetics.

The provider's business location address is:

5921 VOGEL RD
EVANSVILLE, IN
ZIP 47715-020
Phone: (812) 479-7577
Fax: (812) 479-7595

The provider's authorized official is Grace Angeline .
The authorized official title is Provider Contract Analyst Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/5/2024.


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
1222Z00000XOrthotistCPO 1886VIRGINIANo
2224P00000XProsthetistCPO1886VIRGINIANo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4335E00000XProsthetic/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
1200091110AMEDICAIDINDIANA

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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