Organization
ANATOMICAL DESIGNS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDON H. HIME CP, FAAOP (OWNER)
(724) 430-1470
Entity
Organization
Contact information
Practice address
511 BURROUGHS ST, SUITE 104, MORGANTOWN, WV 26505-3388
(304) 284-9190
(304) 284-9194
Mailing address
383 DIXON BLVD, UNIONTOWN, PA 15401-3967
(724) 430-1470
(724) 430-1472
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251812746002
MT. STATE BLUE SHIELD
WV
05
—
6300074000
—
WV
01
—
DME746
THE HEALTH PLAN
WV
Enumeration date
02/09/2006
Last updated
07/18/2014
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