Prosthetic Laboratories Of Rochester, INC.
Prosthetic/Orthotic Supplier in Bemidji, MN. Organization (NPI-2).
NPI number1013322650
StatusActive
Last updated in NPPESDec 10, 2015
Details
- NPI
- 1013322650
- Entity type
- Organization (NPI-2)
- Legal business name
- Prosthetic Laboratories Of Rochester, INC.
- Organization subpart
- Yes
- Enumeration date
- Jun 23, 2014
- Last updated
- Dec 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Hanger Clinic (Doing Business As)
Practice location
3835 Supreme Ct NwSuite 4
Bemidji, MN 56601-4446
Phone 218-825-7255 · Fax 507-625-8564
Mailing address
Po Box 650846Dallas, TX 75265-0846
Phone 218-825-7255 · Fax 507-625-8564
Authorized official
Sheryl Price
Director Of Reimbursement
5034938288
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