Organization
ORTHO-TEC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HAYNES (PRESIDENT)
(888) 616-9811
Entity
Organization
Contact information
Practice address
15 GORE ROAD, WEBSTER, MA 01570-6834
(888) 616-9811
(888) 616-9812
Mailing address
P.O. BOX 364, WEBSTER, MA 01570-0364
(888) 616-9811
(888) 616-9812
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107936
—
CT
01
—
1154328078
HPHC INSURANCE COMPANY
MA
01
—
1154328078
TRICARE
—
05
—
1154328078
—
ME
05
—
1537172
—
MA
01
—
370854
BCBS OF MASSACHUSETTS
—
01
—
42008
FALLON COMMUNITY HEALTH P
—
05
—
5830001
—
RI
01
—
604729
TUFTS HEALTH PLAN
MA
01
—
8200076
EVERCARE
—
Enumeration date
07/07/2005
Last updated
03/04/2015
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