Evergreen Prosthetics And Orthotics

LBN: Colorado Orthotic & Prosthetic Services, Llc
Evergreen Prosthetics And Orthotics is an health care organization with primary practice located at 128 W 5Th Ave , Denver CO 80204-5105. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Colorado Orthotic & Prosthetic Services, Llc can be contacted via phone (720) 685-6520, or through O'Neill, Timothy L via phone (503) 407-5408.

Contact Information

Primary practice address
128 W 5Th Ave Denver CO 80204-5105
Phone: (720) 685-6520
Fax: (720) 685-6521
Website:
Map and Directions
Authorized official contact:
Name: O'Neill, Timothy L
Phone: (503) 407-5408

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Colorado
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Colorado

Profile Details

NPI number 1861492621
LBN Legal business name Colorado Orthotic & Prosthetic Services, Llc
DBA Doing business as Evergreen Prosthetics And Orthotics
Authorized official O'Neill, Timothy L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 11th, 2024 - about 2 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 1861492621 NPPES
Colorado MEDICAID 67632751

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