Gallup Artificial Limb And Brace Co Inc

LBN: Gallup Limb And Brace Co Inc
Gallup Artificial Limb And Brace Co Inc is an health care organization with primary practice located at 927 West Aztec Avenue , Gallup NM 87301. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as the primary health care specialty. Gallup Limb And Brace Co Inc can be contacted via phone (505) 722-5756, or through Marshall, Justin via phone (505) 722-5756.

Contact Information

Primary practice address
927 West Aztec Avenue Gallup NM 87301
Phone: (505) 722-5756
Fax: (505) 722-6726
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Justin ABC COA
Phone: (505) 722-5756

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CP002174

Profile Details

NPI number 1114002219
LBN Legal business name Gallup Limb And Brace Co Inc
DBA Doing business as Gallup Artificial Limb And Brace Co Inc
Authorized official Marshall, Justin ABC COA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114002219 NPPES
New Mexico MEDICAID T6269
New Mexico MEDICAID 307852

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