Ortho-Med Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

E42342 Issued in UT

Legal business name

ORTHO-MED CENTER, INC.

Practice address

2242 Fort Union Boulevard
Suite A4 & A5
Cottonwood Heights, UT 84121-5551

Phone

(801) 272-4253

Fax

(801) 273-1283

NPI assigned

Sep 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jenna Shelayne Paulsen

Title

Store Manager

Phone

(801) 272-4253

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1235232588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 FORT UNION BOULEVARD",
            "address_2": "SUITE A4 & A5",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215551",
            "telephone_number": "801-272-4253",
            "fax_number": "801-273-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 FORT UNION BOULEVARD",
            "address_2": "SUITE A4 & A5",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215551",
            "telephone_number": "801-272-4253",
            "fax_number": "801-273-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO-MED CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "SHELAYNE",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "801-272-4253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "E42342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.