Family Foot Care Specialist Podiatry Center
LBN: Family Foot Care Specialist Podiatry Center
Family Foot Care Specialist Podiatry Center is an health care organization with primary practice located at 1730 Main St , Fortuna CA 95540-2451. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Family Foot Care Specialist Podiatry Center can be contacted via phone (707) 725-5223, or through Kelley, Neil R via phone (707) 725-5223.
Contact Information
Primary practice address
1730 Main St
Fortuna CA 95540-2451
Phone: (707) 725-5223
Fax: (707) 725-2756
Website:
Authorized official contact:
Name: Kelley, Neil R Doctor of Podiatric Medicine (DPM)
Phone: (707) 725-5223
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | California |
Profile Details
| NPI number | 1003986779 |
|---|---|
| LBN Legal business name | Family Foot Care Specialist Podiatry Center |
| DBA Doing business as | |
| Authorized official | Kelley, Neil R Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 17th, 2014 - about 10 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 | 1003986779 | NPPES |
| California | MEDICAID | 1699791160 01 |
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