Organization
FAMILY ORTHOTICS AND PROSTHETICS INC
Active
Parent organization
FAMILY ORTHOTICS & PROSTHETICS
Other names
Family Orthotics and Prosthetics Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ORTHOTICS & PROSTHETICS
Authorized official
SUSAN C PAVLICEK (PATIENT ACCOUNTS)
(308) 338-3550
Entity
Organization
Contact information
Practice address
5550 S 59TH ST, SUITE 24, LINCOLN, NE 68516-2398
(402) 438-4340
(402) 438-4365
Mailing address
PO BOX 1510, KEARNEY, NE 68848-1510
(308) 338-3550
(308) 338-3551
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733220
—
IA
05
—
0743112
—
IA
01
—
08836
BCBS OF NE
NE
05
—
10024962500
—
NE
05
—
10025443400
—
NE
05
—
200278950A
—
KS
01
—
F234568
MIDLANDS CHOICE
NE
Enumeration date
10/25/2006
Last updated
07/21/2022
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