Mid South Artificial Limb Co., LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6818306001 Issued in LA

Legal business name

MID SOUTH ARTIFICIAL LIMB CO., LLC

Practice address

903 Broadway St
Delhi, LA 71232-3401

Phone

(318) 878-0803

Fax

(318) 878-0807

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Peggy J Hancock

Title

Manager

Phone

(318) 878-0803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1285709675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "71232",
            "telephone_number": "318-878-0803",
            "fax_number": "318-878-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323401",
            "telephone_number": "318-878-0803",
            "fax_number": "318-878-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH ARTIFICIAL LIMB CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-878-0803"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "6818306001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Delhi, LA
• Providers in Delhi, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.