# NORTHERN ORTHOTIC AND PROSTHETIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN ORTHOTIC AND PROSTHETIC SERVICES CORPORATION
- **Other names:** Northern Orthotic and Prosthetic Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417364100
- **Legal business name:** NORTHERN ORTHOTIC AND PROSTHETIC SERVICES CORPORATION
- **Authorized official:** MR. GREGORY JOHN FRANCISCO BS,CO (ORTHOTIST/OWNER)
- **Authorized official phone:** (218) 249-6250

## Contact information

- **Practice address:** 1279 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4208
- **Practice address phone:** (218) 301-0001
- **Practice address fax:** (218) 301-0044
- **Mailing address:** 1279 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4208
- **Mailing address phone:** (218) 301-0001
- **Mailing address fax:** (218) 301-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 07/22/2014