Carolina Orthotics And Prosthetics Llc

LBN: Active Mobility Upstate Llc
Carolina Orthotics And Prosthetics Llc is an health care organization with primary practice located at 115 Garner Road , Spartanburg SC 29303. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Active Mobility Upstate Llc can be contacted via phone (864) 541-0028, or through Hooper, Clarence R via phone (843) 577-9577.

Contact Information

Primary practice address
115 Garner Road Spartanburg SC 29303
Phone: (864) 541-0028
Fax: (864) 541-0027
Website:
Map and Directions
Authorized official contact:
Name: Hooper, Clarence R CPO
Phone: (843) 577-9577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 042523929 South Carolina

Profile Details

NPI number 1871780742
LBN Legal business name Active Mobility Upstate Llc
DBA Doing business as Carolina Orthotics And Prosthetics Llc
Authorized official Hooper, Clarence R CPO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Jun 26th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871780742 NPPES
South Carolina MEDICAID DE3088

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