Four Corners Artificial Limb & Brace
LBN: Four Corners Artificial Limb & Brace
Four Corners Artificial Limb & Brace is an health care organization with primary practice located at 653 W Broadway , Farmington NM 87401-5910. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Four Corners Artificial Limb & Brace can be contacted via phone (505) 326-6305, or through Marshall, Justin Howard via phone (505) 326-6305.
Contact Information
Primary practice address
653 W Broadway
Farmington NM 87401-5910
Phone: (505) 326-6305
Fax: (505) 326-6325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1396756987 |
|---|---|
| LBN Legal business name | Four Corners Artificial Limb & Brace |
| DBA Doing business as | |
| Authorized official | Marshall, Justin Howard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Feb 16th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396756987 | NPPES |
| New Mexico | MEDICAID | T6251 |
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