Pps Orthotic & Prosthetic Services

LBN: Custom Healthcare, Llc
Pps Orthotic & Prosthetic Services is an health care organization with primary practice located at 3700 Brainerd Rd Ste 134 , Chattanooga TN 37411-3603. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Custom Healthcare, Llc can be contacted via phone (423) 697-0057, or through Rogers, James C via phone (423) 697-0057.

Contact Information

Primary practice address
3700 Brainerd Rd Ste 134 Chattanooga TN 37411-3603
Phone: (423) 697-0057
Fax: (423) 648-9366
Website:
Map and Directions
Authorized official contact:
Name: Rogers, James C
Phone: (423) 697-0057

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1036 Tennessee
Suppliers / Customized Equipment 332BC3200X 1036 Tennessee
Suppliers / Oxygen Equipment & Supplies 332BX2000X 3347 Tennessee
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1275583783
LBN Legal business name Custom Healthcare, Llc
DBA Doing business as Pps Orthotic & Prosthetic Services
Authorized official Rogers, James C
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Apr 12th, 2022 - about 2 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 1275583783 NPPES
Georgia MEDICAID 003113634A
Georgia MEDICAID 003199235A
Georgia MEDICAID 1455062
Georgia MEDICAID 05130009
Georgia MEDICAID 7100162230
Georgia MEDICAID 000973794C

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