Organization
ORTHOTIC CENTER OF WEST ALABAMA, INC.
Active
Organization
ORTHOTIC CENTER OF WEST ALABAMA, INC.
Active
Other names
Orthotic Center of West Al.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TIMOTHY BUSH C-PED (OWNER-PRESIDENT)
(205) 339-4900
Entity
Organization
Contact information
Practice address
945 MCFARLAND BLVD, NORTHPORT, AL 35476-3374
(205) 339-4900
(205) 339-4976
Mailing address
945 MCFARLAND BLVD, NORTHPORT, AL 35476-3374
(205) 339-4900
(205) 339-4976
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 70415
BC/BS
AL
Enumeration date
10/10/2006
Last updated
08/22/2020
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