Organization Name: | OTTO BOCK ORTHOPEDIC SERVICES LLC |
NPI Number: | 1518292382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON CLARK (PAYOR RELATIONS & CONTRACT ADMIN) |
Mailing Address: | 16 Office Park Cir Ste 17 Birmingham |
State: | AL US |
Postal Code: | 352232559 |
Phone Number: | 8007112205 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2009 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |