| Organization Name: | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES LLC |
| NPI Number: | 1316019193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH M. CAPUTO (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 444 Four States Dr Suite 1 Galena |
| State: | KS US |
| Postal Code: | 667394324 |
| Phone Number: | 6207834441 |
| Fax Number: | 6207834185 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |