Amputee Clinic, Inc.
LBN: Amputee Clinic, Inc.
Amputee Clinic, Inc. is an health care organization with primary practice located at 7051 Cypress Ter #108, Fort Myers FL 33907-8822. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Amputee Clinic, Inc. can be contacted via phone (239) 437-4010, or through Randall, Marcum R via phone (239) 437-4010.
Contact Information
Primary practice address
7051 Cypress Ter #108
Fort Myers FL 33907-8822
Phone: (239) 437-4010
Fax: (239) 437-4097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1295730216 |
|---|---|
| LBN Legal business name | Amputee Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Randall, Marcum R PT, CP, LPO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295730216 | NPPES |
| Alabama | MEDICAID | 009939684 | |
| Alabama | Other | 81750 | |
| Alabama | Other | 204925600 | |
| Alabama | Other | 8150 | |
| Alabama | MEDICAID | 1454256 | |
| Alabama | Other | 52895744 001 | |
| Alabama | MEDICAID | 1295730216 | |
| Alabama | MEDICAID | 000914064A | |
| Alabama | Other | 004016999 | |
| Alabama | Other | 13125 | |
| Alabama | Other | 4016999 |
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