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LAKES REGION ARTIFICIAL LIMB AND BRACE COMPANY INC

Prosthetic/Orthotic Supplier

An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.

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Contact Information

LAKES REGION ARTIFICIAL LIMB AND BRACE COMPANY INC
710 VALLEY ST
HAWLEY, MN  56549
 Phone: 218-486-1963
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

 335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

 332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for LAKES REGION ARTIFICIAL LIMB AND BRACE COMPANY INC

NPI Number 1285695783
LBN Legal business name LAKES REGION ARTIFICIAL LIMB AND BRACE COMPANY INC
Authorized official KENNETH HEIDE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2006
Last updated 10/30/2007 - About 19 years ago
Identifiers
ND Medicaid 54461
SD Medicaid 9150650
Other 23145 BLUE CROSS ND
Other 8200663 MEDICA
Other 8200664 MEDICA
Other 164106 UCARE
MN Other 109L7RE BLUE CROSS BLUE SHIELD MN
MN Other 110L7RE BLUE CROSS BLUE SHIELD MN
SD Other 9216690 DAKOTA CARE
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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