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RECREATE MASTECTOMY PRODUCTS & BOUTIQUE

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

RECREATE MASTECTOMY PRODUCTS & BOUTIQUE
116 SOUTH AVE W
MISSOULA, MT  59801-8116
 Phone: 406-721-4242
 Fax:
 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 RECREATE MASTECTOMY PRODUCTS & BOUTIQUE

NPI # 1740438696
LBN Legal business name RECREATE MASTECTOMY PRODUCTS & BOUTIQUE
Authorized official KAREN WILLIAMS - (TREASURER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/04/2008
Last updated 07/24/2009 - About 17 years ago
Identifiers n/a
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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