Organization
ORTHO PROS EXPRESS
Active
Other names
Select Rehab Med Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA F TRIMNAL (VP OF OPERATIONS)
(704) 921-2286
Entity
Organization
Contact information
Practice address
2205 DISTRIBUTION CENTER DR STE A, CHARLOTTE, NC 28269-4283
(704) 921-2286
(704) 921-2278
Mailing address
2205 DISTRIBUTION CENTER DR STE A, CHARLOTTE, NC 28269-4283
(704) 921-2286
(704) 921-2287
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00945216B
—
GA
05
—
0227447000
—
WV
01
—
0395A
BLUE CROSS
NC
01
—
282056
ANTHEM
VA
05
—
7701803
—
NC
05
—
9113738
—
VA
05
—
DME958
—
SC
Enumeration date
07/24/2006
Last updated
08/22/2020
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