Summit City Prosthetics & Orthotics Inc

LBN: Summit City Prosthetics & Orthotics Inc
Summit City Prosthetics & Orthotics Inc is an health care organization with primary practice located at 16597 State Road 23 Ste 2 , South Bend IN 46635-1461. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Summit City Prosthetics & Orthotics Inc can be contacted via phone (574) 855-1488, or through Brown, Shawn Dee via phone (260) 312-1746.

Contact Information

Primary practice address
16597 State Road 23 Ste 2 South Bend IN 46635-1461
Phone: (574) 855-1488
Fax: (574) 387-5583
Website:
Map and Directions
Authorized official contact:
Name: Brown, Shawn Dee CPO
Phone: (260) 312-1746

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1184205379
LBN Legal business name Summit City Prosthetics & Orthotics Inc
DBA Doing business as
Authorized official Brown, Shawn Dee CPO
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2021
Last updated Apr 19th, 2021 - about 3 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 1184205379 NPPES
Indiana MEDICAID 300033323

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