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Organization

ORTHO MEDICS OMAHA

Active
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Organization

ORTHO MEDICS OMAHA

Active
Other names
OrthoMedics
Organization subpart
No

Provider details

NPI number
Authorized official
KASSIE HARNDEN (PRESIDENT)
(402) 614-7321
Entity
Organization

Contact information

Practice address
6601 S 118TH ST STE 100, OMAHA, NE 68137-3584
(402) 614-7321
(402) 614-8277
Mailing address
6601 S 118TH ST STE 100, OMAHA, NE 68137-3584
(402) 614-7321
(402) 614-8277

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025827200
NE
05
1144465352
IA
01
40023
BC/BS
01
NONE
TRI CARE
Enumeration date
12/03/2008
Last updated
07/21/2023
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