Collier Prosthetics

LBN: Ava Inc.
Collier Prosthetics is an health care organization with primary practice located at 1113 Vandercook Way Suite 120, Longview WA 98632-4024. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Ava Inc. can be contacted via phone (360) 423-0459, or through Miller, Victoria via phone (360) 423-0459.

Contact Information

Primary practice address
1113 Vandercook Way Suite 120 Longview WA 98632-4024
Phone: (360) 423-0459
Fax: (360) 575-1144
Website:
Map and Directions
Authorized official contact:
Name: Miller, Victoria
Phone: (360) 423-0459

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Washington

Profile Details

NPI number 1447344296
LBN Legal business name Ava Inc.
DBA Doing business as Collier Prosthetics
Authorized official Miller, Victoria
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 18th, 2011 - about 14 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 1447344296 NPPES
Oregon Other 883583000 REGENCE
Oregon MEDICAID 9050931 REGENCE
Oregon MEDICAID 240332 REGENCE

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