Raystown Podiatry Llc
LBN: Raystown Podiatry Llc
Raystown Podiatry Llc is an health care organization with primary practice located at 1201 Moore St , Huntingdon PA 16652-1826. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Raystown Podiatry Llc can be contacted via phone (814) 643-1720, or through Carlson-Little, Tammy E. via phone (814) 643-1720.
Contact Information
Primary practice address
1201 Moore St
Huntingdon PA 16652-1826
Phone: (814) 643-1720
Fax: (814) 643-4953
Website:
Authorized official contact:
Name: Carlson-Little, Tammy E. Doctor of Podiatric Medicine (DPM)
Phone: (814) 643-1720
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1588716096 |
|---|---|
| LBN Legal business name | Raystown Podiatry Llc |
| DBA Doing business as | |
| Authorized official | Carlson-Little, Tammy E. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Mar 15th, 2010 - about 14 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 | 1588716096 | NPPES |
| Pennsylvania | MEDICAID | 1019577160001 | |
| Pennsylvania | Other | 1956490 | |
| Pennsylvania | Other | 01489224 | |
| Pennsylvania | Other | 323538 | |
| Pennsylvania | Other | 0007621509 | |
| Pennsylvania | Other | P00278620 |
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