IDAHO ORTHOTIC PROSTHETIC SERVICES, INC; NPI #1801942354

Contact Information

IDAHO ORTHOTIC PROSTHETIC SERVICES, INC

425 S WHITLEY DR STE 431
FRUITLAND, ID 83619-2611

Phone: 208-884-1294
Fax: 208-884-1293
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for IDAHO ORTHOTIC PROSTHETIC SERVICES, INC

NPI Number 1801942354

LBN Legal business name IDAHO ORTHOTIC PROSTHETIC SERVICES, INC

Authorized official DIANA MORRISON - (CONTRACT SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/26/2007

Last updated 06/30/2020 - About 6 years ago

Identifiers

ID	Medicaid	807031400
OR	Medicaid	277882
ID	Other	8K537	BLUE CROSS IDAHO
ID	Other	000010148826	BLUE SHIELD IDAHO
ID	Other	8K537	TRUE BLUE BLUE CROSS IDAH

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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IDAHO ORTHOTIC PROSTHETIC SERVICES, INC

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for IDAHO ORTHOTIC PROSTHETIC SERVICES, INC

Reviews for IDAHO ORTHOTIC PROSTHETIC SERVICES, INC