Upstate Pedorthic Serices

LBN: Upstate Pedorthic Services Inc.
Upstate Pedorthic Serices is an health care organization with primary practice located at 24 Parkway Commons Way , Greer SC 29650-5213. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Upstate Pedorthic Services Inc. can be contacted via phone (864) 848-3300, or through Ballard, Walter D via phone (864) 848-3300.

Contact Information

Primary practice address
24 Parkway Commons Way Greer SC 29650-5213
Phone: (864) 848-3300
Fax: (864) 848-2100
Website:
Map and Directions
Authorized official contact:
Name: Ballard, Walter D C PED
Phone: (864) 848-3300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X South Carolina

Profile Details

NPI number 1760688410
LBN Legal business name Upstate Pedorthic Services Inc.
DBA Doing business as Upstate Pedorthic Serices
Authorized official Ballard, Walter D C PED
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 18th, 2013 - about 13 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 1760688410 NPPES
North Carolina MEDICAID 7702097
North Carolina MEDICAID DE1002

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