<Unavail>
LBN: Shields Orthotic Prosthetic Services, Inc.
<Unavail> is an health care organization with primary practice located at 5687 Harrison Blvd , South Ogden UT 84403-4322. 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.
Shields Orthotic Prosthetic Services, Inc. can be contacted via phone (801) 475-4428, or through Price, Sheryl S via phone (503) 493-8288.
Contact Information
Primary practice address
5687 Harrison Blvd
South Ogden UT 84403-4322
Phone: (801) 475-4428
Fax: (801) 475-0427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1629027560 |
|---|---|
| LBN Legal business name | Shields Orthotic Prosthetic Services, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Price, Sheryl S |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 17th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629027560 | NPPES |
| Wyoming | MEDICAID | 107893300 | |
| Wyoming | MEDICAID | 002961100 |
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