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 1500 E Heritage Park St Ste 100 , Meridian ID 83646-5884. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Evergreen Prosthetics And Orthotics, Llc can be contacted via phone (208) 884-1294, or through O'Neill, Timothy L via phone (503) 407-5408.

Contact Information

Primary practice address
1500 E Heritage Park St Ste 100 Meridian ID 83646-5884
Phone: (208) 884-1294
Fax: (208) 884-1293
Website:
Map and Directions
Authorized official contact:
Name: O'Neill, Timothy L CPO
Phone: (503) 407-5408

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1619508702
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 Jan 28th, 2020
Last updated Nov 22nd, 2023 - about last year

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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