IDAHO PROSTHETICS & ORTHOTICS, INC.; NPI #1952433971

Contact Information

IDAHO PROSTHETICS & ORTHOTICS, INC.

333 N 18TH AVE STE B4
POCATELLO, ID 83201-3322

Phone: 208-478-8000
Fax: 208-478-8801
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 PROSTHETICS & ORTHOTICS, INC.

NPI Number 1952433971

LBN Legal business name IDAHO PROSTHETICS & ORTHOTICS, INC.

Authorized official ANNETTE WRIGHT - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/12/2007

Last updated 03/03/2020 - About 6 years ago

Identifiers

Medicaid

805166100

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 PROSTHETICS & ORTHOTICS, INC.

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for IDAHO PROSTHETICS & ORTHOTICS, INC.

Reviews for IDAHO PROSTHETICS & ORTHOTICS, INC.