Organization
WILLIAMSPORT ORTHOPEDIC & PROSTHETIC COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BORGESS BOC-O (PRESIDENT)
(570) 322-5277
Entity
Organization
Contact information
Practice address
251 PENN ST STE 1, WILLIAMSPORT, PA 17701-5310
(570) 322-5277
(570) 322-1289
Mailing address
251 PENN ST STE 1, WILLIAMSPORT, PA 17701-5310
(570) 322-5277
(570) 322-1289
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000282784
HIGHMARK BLUE CROSS
PA
05
—
0005734430001
—
PA
01
—
37618
HEALTH AMERICA
PA
01
—
814220
FIRST PRIORITY HEALTH
PA
Enumeration date
05/31/2005
Last updated
08/08/2023
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