Regional Foot & Ankle Center Pc

LBN: Regional Foot & Ankle Center Pc
Regional Foot & Ankle Center Pc is an health care organization with primary practice located at 1439 Monroe Ave Ste 3 , Dunmore PA 18509-2497. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Regional Foot & Ankle Center Pc can be contacted via phone (570) 963-1974, or through Baldassari, Elmo William via phone (570) 963-1974.

Contact Information

Primary practice address
1439 Monroe Ave Ste 3 Dunmore PA 18509-2497
Phone: (570) 963-1974
Fax: (570) 963-0762
Website:
Map and Directions
Authorized official contact:
Name: Baldassari, Elmo William Doctor of Podiatric Medicine (DPM)
Phone: (570) 963-1974

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC003666L Pennsylvania
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X SC-003666L Pennsylvania

Profile Details

NPI number 1487826905
LBN Legal business name Regional Foot & Ankle Center Pc
DBA Doing business as
Authorized official Baldassari, Elmo William Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Apr 10th, 2019 - about 7 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 1487826905 NPPES
Pennsylvania MEDICAID 0016528000002

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