Organization
CAMPANIS SHOE STORE & REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINO CAMPANIS (PEDORTHIC ORTHITIST)
(814) 355-1806
Entity
Organization
Contact information
Practice address
148 S ALLEGHENY ST, BELLEFONTE, PA 16823-1958
(814) 355-1806
Mailing address
148 S ALLEGHENY ST, BELLEFONTE, PA 16823-1958
(814) 355-1806
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269781
HEALTH AMERICA
PA
01
—
50009410
CAPITAL BLUE CROSS PPO
PA
Enumeration date
01/09/2008
Last updated
01/09/2008
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