Organization
FOOTCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASTRID AVIS DPM (DOCTOR OF PODIATRIC MEDICINE)
(717) 672-0400
Entity
Organization
Contact information
Practice address
45 E ORANGE ST, LOWER LEVEL, LANCASTER, PA 17602-5123
(717) 672-0400
(717) 824-3466
Mailing address
45 E ORANGE ST, LOWER LEVEL, LANCASTER, PA 17602-5123
(717) 672-0400
(717) 824-3466
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
SC 006160
PA
332B00000X
Durable Medical Equipment & Medical Supplies
SC006166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102552374 0001
—
PA
01
—
202554
MEDICARE PTAN GROUP NUMBER
PA
Enumeration date
01/20/2011
Last updated
03/17/2016
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