Priority Footwear & Pedorthic Services

LBN: Pacific Footwear Company, Inc
Priority Footwear & Pedorthic Services is an health care organization with primary practice located at 1142 Willagillespie Rd Suite 23, Eugene OR 97401-2142. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Pacific Footwear Company, Inc can be contacted via phone (541) 743-0620, or through Reimann, David via phone (503) 524-9656.

Contact Information

Primary practice address
1142 Willagillespie Rd Suite 23 Eugene OR 97401-2142
Phone: (541) 743-0620
Fax: (541) 743-0019
Website:
Map and Directions
Authorized official contact:
Name: Reimann, David
Phone: (503) 524-9656

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1427385343
LBN Legal business name Pacific Footwear Company, Inc
DBA Doing business as Priority Footwear & Pedorthic Services
Authorized official Reimann, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2009
Last updated Nov 14th, 2011 - about 15 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 1427385343 NPPES
Oregon MEDICAID 297988

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