Ava Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AVA INC.

Doing business as

Collier Prosthetics

Practice address

1113 Vandercook Way
Suite 120
Longview, WA 98632-4024

Phone

(360) 423-0459

Fax

(360) 575-1144

NPI assigned

Oct 3, 2006

Last updated

Feb 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Miller

Title

Office Manager

Phone

(360) 423-0459

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Collier Prosthetics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milo S Collier Jr., CP

  • Prosthetist
  • Longview, WA
  • NPI 1053631085
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1447344296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327568",
            "telephone_number": "360-423-0459",
            "fax_number": "360-575-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 VANDERCOOK WAY",
            "address_2": "SUITE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324024",
            "telephone_number": "360-423-0459",
            "fax_number": "360-575-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-423-0459"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240332",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9050931",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "883583000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Aslin
• Matthew Stephen Atencio, PTA
• Attunement Health and Wellness, LLC
• Cristy L Auckland, ARNP
• Nicholas E Austin, PA
• Alison Kathleen Ave Lallemant, COTA/L
• Awakenings
• Robert C Axelrod, MD
• Anita Louise Bach, RDH
• Kyle Nathan Backer, M.D.

• Prosthetic/Orthotic Supplier in Longview, WA
• Providers in Longview, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.