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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1457747172 |
| LBN Legal business name | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE |
| Authorized official | JAMES HADDICAN - (VP OF FINANCE/CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/09/2015 |
| Last updated | 04/09/2015 - About 11 years ago |
| Identifiers | n/a |
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