Northwest Orthotics & Prosthetics

LBN: Northwest Orthotics & Prosthetics
Northwest Orthotics & Prosthetics is an health care organization with primary practice located at 1675 N Freedom Blvd Ste 12 C, Provo UT 84604-2540. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Northwest Orthotics & Prosthetics can be contacted via phone (801) 377-3433, or through Hill, David via phone (801) 377-3433.

Contact Information

Primary practice address
1675 N Freedom Blvd Ste 12 C Provo UT 84604-2540
Fax: (801) 377-4127
Website:
Authorized official contact:
Name: Hill, David BOCO

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X D44206 Utah
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1912991738
LBN Legal business name Northwest Orthotics & Prosthetics
DBA Doing business as
Authorized official Hill, David BOCO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated May 9th, 2013 - about 12 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 1912991738 NPPES
Utah MEDICAID 820305315003

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