Organization
CUSTOM PROSTHETIC & ORTHOTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHNNIE MAE OWENS CHILD CARE (OWNER PRESIDENT)
(601) 906-1024
Entity
Organization
Contact information
Practice address
801 E NORTHSIDE DR, SUITE - D, CLINTON, MS 39056-3663
(601) 906-1024
Mailing address
801 E NORTHSIDE DR, SUITE - D, CLINTON, MS 39056-3663
(601) 906-1024
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MS
Other
Enumeration date
06/17/2008
Last updated
03/15/2012
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