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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