Evergreen Prosthetics And Orthotics, Llc

LBN: Evergreen Prosthetics And Orthotics, Llc
Evergreen Prosthetics And Orthotics, Llc is an health care organization with primary practice located at 1818 S 10Th Ave Ste 240 , Caldwell ID 83605-4880. 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. Evergreen Prosthetics And Orthotics, Llc can be contacted via phone (208) 608-6014, or through O'Neill, Timothy L via phone (503) 407-5408.

Contact Information

Primary practice address
1818 S 10Th Ave Ste 240 Caldwell ID 83605-4880
Phone: (208) 608-6014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Neill, Timothy L CPO
Phone: (503) 407-5408

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1023503497
LBN Legal business name Evergreen Prosthetics And Orthotics, Llc
DBA Doing business as
Authorized official O'Neill, Timothy L CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2018
Last updated Oct 30th, 2023 - 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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