Organization Active NPI

Procare Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Philadelphia, MS
National Provider Identifier
1740477629
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
PROCARE PROSTHETICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.