Boland Prosthetic & Orthotic Center
LBN: Boland Prosthetic & Orthotic Center
Boland Prosthetic & Orthotic Center is an health care organization with primary practice located at 110 Osigian Blvd. , Warner Robins GA 31088. 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.
Boland Prosthetic & Orthotic Center can be contacted via phone (478) 953-2922, or through Boland, Paul A via phone (478) 953-2922.
Contact Information
Primary practice address
110 Osigian Blvd.
Warner Robins GA 31088
Phone: (478) 953-2922
Fax: (478) 953-2927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | NO STATE LICENSURE | Georgia |
Profile Details
| NPI number | 1164419743 |
|---|---|
| LBN Legal business name | Boland Prosthetic & Orthotic Center |
| DBA Doing business as | |
| Authorized official | Boland, Paul A CPO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Nov 11th, 2021 - about 3 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 | 1164419743 | NPPES |
| Georgia | MEDICAID | 00820751B | |
| Georgia | MEDICAID | 00820751A |
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