Victory Orthotics & Prosthetics Llc

LBN: Victory Orthotics & Prosthetics Llc
Victory Orthotics & Prosthetics Llc is an health care organization with primary practice located at 2 Sheridan Sq Suite 100, Kingsport TN 37660. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Victory Orthotics & Prosthetics Llc can be contacted via phone (423) 378-3320, or through Gardner, Brad via phone (615) 864-8790.

Contact Information

Primary practice address
2 Sheridan Sq Suite 100 Kingsport TN 37660
Phone: (423) 378-3320
Fax: (423) 378-3363
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Brad
Phone: (615) 864-8790

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Tennessee

Profile Details

NPI number 1891935763
LBN Legal business name Victory Orthotics & Prosthetics Llc
DBA Doing business as
Authorized official Gardner, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2009
Last updated Oct 3rd, 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 1891935763 NPPES
Tennessee Other 4017529 BCBST
Tennessee MEDICAID 9190601 BCBST
Tennessee MEDICAID 1454184 BCBST

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