Provost Shoes

LBN: Provost Shoes
Provost Shoes is an health care organization with primary practice located at 225 Columbia Mall Dr , Bloomsburg PA 17815-8368. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Provost Shoes can be contacted via phone (570) 784-4645, or through Provost, John Marshall via phone (570) 784-4645.

Contact Information

Primary practice address
225 Columbia Mall Dr Bloomsburg PA 17815-8368
Phone: (570) 784-4645
Fax: (570) 455-7704
Website:
Map and Directions
Authorized official contact:
Name: Provost, John Marshall C.PED
Phone: (570) 784-4645

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4244780001 Pennsylvania

Profile Details

NPI number 1972743268
LBN Legal business name Provost Shoes
DBA Doing business as
Authorized official Provost, John Marshall C.PED
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2009
Last updated Feb 25th, 2009 - about 15 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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