Mississippi Orthotics & Prosthetics, Inc.

LBN: Alabama Orthotics & Prosthetics, Inc.
Mississippi Orthotics & Prosthetics, Inc. is an health care organization with primary practice located at 1501 Cliff Gookin Blvd , Tupelo MS 38801-6401. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Alabama Orthotics & Prosthetics, Inc. can be contacted via phone (662) 841-9473, or through Swanson, Jerry O. via phone (662) 841-9473.

Contact Information

Primary practice address
1501 Cliff Gookin Blvd Tupelo MS 38801-6401
Phone: (662) 841-9473
Fax: (662) 841-1917
Website:
Map and Directions
Authorized official contact:
Name: Swanson, Jerry O. C.P., L.P.
Phone: (662) 841-9473

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1093701393
LBN Legal business name Alabama Orthotics & Prosthetics, Inc.
DBA Doing business as Mississippi Orthotics & Prosthetics, Inc.
Authorized official Swanson, Jerry O. C.P., L.P.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093701393 NPPES
Mississippi MEDICAID 000040257

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