institution
Louisville 02, Inc.
Prosthetic/Orthotic Supplier in Somerset, Kentucky
NPI 1164420683

Louisville 02, Inc. is a Prosthetic/Orthotic Supplier based in Plymouth Meeting, KY. Louisville 02, Inc. practices in Somerset, KY. The NPI Number for Louisville 02, Inc. is 1164420683 and holds a License No. 049125 (Kentucky).

The current practice location address for Louisville 02, Inc. is 83 Bogle Office Park Dr, Somerset, KY and can be reached out via phone at 606-492-2740 and via fax at 866-312-7997. You can also correspond with Louisville 02, Inc. through the mailing address at 220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA - 19462-1437 (mailing address contact number: ).

Location: 83 Bogle Office Park Dr, Somerset, KY, 19462-1437
institution
Provider Profile Details
NPI Number
1164420683
Provider Name
Louisville 02, Inc.
Credential
Provider Entity Type
Organization
Address
83 Bogle Office Park Dr, Somerset, KY, 19462-1437
Phone Number
606-492-2740
Fax Number
866-312-7997
Provider Enumeration Date
07/08/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000330044 01 KY ANTHEM
50004493 01 KY PASSPORT PROVIDER ID
200500200A 05 IN
1217887 01 KY CHA HEALTH PROVIDER ID
7444596 01 KY AETNA
7100127560 05 KY
institution
Provider Business Practice Location Address Details
Address
83 Bogle Office Park Dr
City
State
Zip
42503-2810
Phone Number
606-492-2740
Fax Number
866-312-7997
person
Provider Business Mailing Address Details
Address
83 Bogle Office Park Dr
City
State
Zip
42503-2810
Phone Number
606-492-2740
Fax Number
866-312-7997
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
MG0412 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
049125 (Kentucky)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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