Active NPI
Procare Prosthetics Inc
- Prosthetic/Orthotic Supplier
- Philadelphia, MS
National Provider Identifier
1740477629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROCARE PROSTHETICS INC
- Practice address
- 1120 E Main St
Suite 22
Philadelphia, MS 39350-2300 - Phone
- (601) 664-7004
- Fax
- (601) 664-7099
- NPI assigned
- Sep 25, 2007
- Last updated
- Sep 25, 2007
- Organization subpart
- Yes
- Parent organization
- PROCARE PROSTHETICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sara S Lee
- Title
- Office Manager
- Phone
- (601) 664-7004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1120 E Main St
Suite 22
Philadelphia, MS 39350-2300
Mailing address
1050 N Flowood Dr
Suite C-1
Flowood, MS 39232-9738
Phone (601) 664-7004
National Provider Directory
National Provider Directory- Part of
- Procare Prosthetics Inc
Locations
1050 N Flowood Dr
Ste C1
Flowood, MS 39232
Phone (601) 664-7004
1120 E Main St
Ste 22
Philadelphia, MS 39350
Phone (601) 656-2432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1740477629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 N FLOWOOD DR",
"address_2": "SUITE C-1",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329738",
"telephone_number": "601-664-7004",
"fax_number": "601-664-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E MAIN ST",
"address_2": "SUITE 22",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393502300",
"telephone_number": "601-664-7004",
"fax_number": "601-664-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCARE PROSTHETICS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROCARE PROSTHETICS INC",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-664-7004",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.