Prevail Prosthetics And Orthotics, Inc

LBN: Prevail Prosthetics And Orthotics, Inc
Prevail Prosthetics And Orthotics, Inc is an health care organization with primary practice located at 7735 W Jefferson Blvd Suite C, Fort Wayne IN 46804-4135. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prevail Prosthetics And Orthotics, Inc can be contacted via phone (260) 483-5219, or through Hudson, Christi via phone (260) 483-5219.

Contact Information

Primary practice address
7735 W Jefferson Blvd Suite C Fort Wayne IN 46804-4135
Phone: (260) 483-5219
Fax: (260) 484-2291
Website:
Map and Directions
Authorized official contact:
Name: Hudson, Christi
Phone: (260) 483-5219

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1366583759
LBN Legal business name Prevail Prosthetics And Orthotics, Inc
DBA Doing business as
Authorized official Hudson, Christi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 29th, 2018 - about 6 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 1366583759 NPPES
Indiana MEDICAID 200405280

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