Organization
HEARTLAND O&P INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA BLAINE PITTS C.P.O. 2980 (OWNER)
(620) 402-6789
Entity
Organization
Contact information
Practice address
22215 TUPPER STREET, SUITE B, WINFIELD, KS 67156
(620) 402-6789
Mailing address
PO BOX 1163, ARKANSAS CITY, KS 67005-1163
(620) 402-6789
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C.P.O. 2980
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.P.O.2980
AMERICAN BOARD OF CERTIFICATION FOR ORTHOTICS AND PROSTHETICS
KS
Enumeration date
05/01/2013
Last updated
01/15/2014
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