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Contact Information

CENTRAL BRACE COMPANY
404 PORTLAND ST
REAR ENTRANCE EYE RESEARCH FOUNDATION
COLUMBIA, MO65201-6506
 Phone: 573-874-0321
 Fax: 573-874-2003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for CENTRAL BRACE COMPANY

NPI Number 1417962275
LBN Legal business name CENTRAL BRACE COMPANY
Authorized official GERALD BENEDICT - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 09/10/2009 - About 17 years ago
Identifiers
MO Medicaid 628004400
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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