Mcdonough Orthopaedic And Sports Medicine Center Sc
LBN: Mcdonough Orthopaedic And Sports Medicine Center Sc
Mcdonough Orthopaedic And Sports Medicine Center Sc is an health care organization with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. 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.
Mcdonough Orthopaedic And Sports Medicine Center Sc can be contacted via phone (715) 421-5257, or through Christie, Wayne R via phone (715) 421-5257.
Contact Information
Primary practice address
410 Dewey St
Wisconsin Rapids WI 54494-4715
Phone: (715) 421-5257
Fax: (715) 421-0111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1073506838 |
|---|---|
| LBN Legal business name | Mcdonough Orthopaedic And Sports Medicine Center Sc |
| DBA Doing business as | |
| Authorized official | Christie, Wayne R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Mar 6th, 2009 - about 15 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 | 1073506838 | NPPES |
| Wisconsin | MEDICAID | 416963000 |
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