Mid-Missouri Orthotics & Prosthetics

LBN: Mid-Missouri Orthotics & Prosthetics
Mid-Missouri Orthotics & Prosthetics is an health care organization with primary practice located at 1101 Lakeview Ave , Columbia MO 65201-4659. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mid-Missouri Orthotics & Prosthetics can be contacted via phone (573) 817-1782, or through Bright, Shawn via phone (573) 449-3859.

Contact Information

Primary practice address
1101 Lakeview Ave Columbia MO 65201-4659
Fax: (573) 449-7593
Website:
Authorized official contact:
Name: Bright, Shawn

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1770566499
LBN Legal business name Mid-Missouri Orthotics & Prosthetics
DBA Doing business as
Authorized official Bright, Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Aug 22nd, 2020 - about 3 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 1770566499 NPPES
Missouri Other 166056 BLUE CROSS PROVIDER NUMBE
Missouri Other 41486 BLUE CROSS PROVIDER NUMBE
Missouri Other 522024 BLUE CROSS PROVIDER NUMBE

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