Mid-Missouri Orthotics & Prosthetics

LBN: Mid-Missouri Orthotics & Prosthetics
Mid-Missouri Orthotics & Prosthetics is an health care organization with primary practice located at 3559 Amazonas Dr , Jefferson City MO 65109-5717. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mid-Missouri Orthotics & Prosthetics can be contacted via phone (573) 636-9611, or through Ell, Tracy D via phone (573) 636-9611.

Contact Information

Primary practice address
3559 Amazonas Dr Jefferson City MO 65109-5717
Phone: (573) 636-9611
Fax: (573) 636-9632
Website:
Map and Directions
Authorized official contact:
Name: Ell, Tracy D
Phone: (573) 636-9611

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1740265495
LBN Legal business name Mid-Missouri Orthotics & Prosthetics
DBA Doing business as
Authorized official Ell, Tracy D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 19th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740265495 NPPES
Missouri Other 522024 HEALTHLINK
Missouri Other 41486 HEALTHLINK
Missouri MEDICAID 627800907 HEALTHLINK
Missouri Other 166056 HEALTHLINK

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