Prosthetic Center Of Excellence
LBN: Prosthetic Center Of Excellence, A Nevada Corporation
Prosthetic Center Of Excellence is an health care organization with primary practice located at 2047 W Charleston Blvd Ste 100 , Las Vegas NV 89102-2251. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Prosthetic Center Of Excellence, A Nevada Corporation can be contacted via phone (702) 384-1410, or through Angeline, Grace via phone (714) 961-2102.
Contact Information
Primary practice address
2047 W Charleston Blvd Ste 100
Las Vegas NV 89102-2251
Phone: (702) 384-1410
Fax: (702) 384-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1457348823 |
|---|---|
| LBN Legal business name | Prosthetic Center Of Excellence, A Nevada Corporation |
| DBA Doing business as | Prosthetic Center Of Excellence |
| Authorized official | Angeline, Grace |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Nov 14th, 2023 - about 2 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 | 1457348823 | NPPES |
| Nevada | MEDICAID | 003302169 |
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