Priority Footwear & Pedorthic Services

LBN: Pacific Footwear Company Inc
Priority Footwear & Pedorthic Services is an health care organization with primary practice located at 1150 Knutson Ave Suite 12, Medford OR 97504-3100. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Pacific Footwear Company Inc can be contacted via phone (547) 608-7400, or through Reimann, David via phone (503) 524-9656.

Contact Information

Primary practice address
1150 Knutson Ave Suite 12 Medford OR 97504-3100
Phone: (547) 608-7400
Fax: (541) 608-7600
Website:
Map and Directions
Authorized official contact:
Name: Reimann, David
Phone: (503) 524-9656

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1841581717
LBN Legal business name Pacific Footwear Company Inc
DBA Doing business as Priority Footwear & Pedorthic Services
Authorized official Reimann, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2011
Last updated Apr 27th, 2011 - about 13 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 1841581717 NPPES
Oregon MEDICAID 297988

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