Organization
MTN CITY PROSTHTICS & ORTHOTICS
Active
Organization
MTN CITY PROSTHTICS & ORTHOTICS
Active
Other names
Russell Steadele
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E STEADELE I CPO (PRESIDENT)
(570) 455-7486
Entity
Organization
Contact information
Practice address
1053 N CHURCH ST, HAZLETON, PA 18202-1447
(570) 455-7486
Mailing address
1053 N CHURCH ST, HAZLETON, PA 18202-1447
(570) 455-7486
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018417720002
—
PA
01
—
215659
PA BLUE SHIELD
PA
01
—
28295
DEMENSION BENEFITS PLAN
PA
01
—
39HA67
CAPITAL BLUE CROSS
PA
01
—
814373
FIRST PRIORITY HEALTH
PA
Enumeration date
04/06/2007
Last updated
12/11/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up