Custom Care Orthotics, Inc

LBN: Custom Care Orthotics, Inc
Custom Care Orthotics, Inc is an health care organization with primary practice located at 910 E 26Th St 460, Minneapolis MN 55404-4526. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Custom Care Orthotics, Inc can be contacted via phone (612) 871-5000, or through Hentges, Carol Jean via phone (612) 871-5000.

Contact Information

Primary practice address
910 E 26Th St 460 Minneapolis MN 55404-4526
Fax: (612) 871-3800
Website:
Authorized official contact:
Name: Hentges, Carol Jean Certified Orthotist (CO)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1447222054
LBN Legal business name Custom Care Orthotics, Inc
DBA Doing business as
Authorized official Hentges, Carol Jean Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1447222054 NPPES
Minnesota Other 82-00444 SELECT CARE
Minnesota Other 164659 SELECT CARE
Minnesota Other 165L9CU SELECT CARE
Minnesota Other 96446 SELECT CARE
Minnesota Other 82-00444 SELECT CARE
Minnesota Other 01035214 SELECT CARE
Minnesota Other 82-00444 SELECT CARE

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