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Contact Information

ORTHOPAEDICS PC
20 WEST 6TH ST
SUITE 1
SPENCER, IA51301
 Phone: 712-580-2022
 Fax: 712-580-2024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ORTHOPAEDICS PC

NPI Number 1861463473
LBN Legal business name ORTHOPAEDICS PC
Authorized official ALEXANDER PRUITT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2006
Last updated 06/26/2015 - About 11 years ago
Identifiers
IA License # 5151790001
IA Medicaid 0481754
Other 104435 HEALTH PARTNERS
Other 0180034 US DEPT OF LABOR & INDUST
Other 204803800 US DEPT OF LABOR (ACS)
IA Other 71119 BCBS OF IA
IA Other DE0140 RAILROAD MEDICARE
IA Other 71119 WELLMARK SELECT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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