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Mtn City Prosthtics & Orthotics
Prosthetic/Orthotic Supplier in Hazleton, Pennsylvania
NPI 1225150493

Mtn City Prosthtics & Orthotics is a Prosthetic/Orthotic Supplier based in Hazleton, PA. Mtn City Prosthtics & Orthotics practices in Hazleton, PA. The NPI Number for Mtn City Prosthtics & Orthotics is 1225150493 and holds a License No. (Pennsylvania).

The current practice location address for Mtn City Prosthtics & Orthotics is 1053 N Church St, Hazleton, PA and can be reached out via phone at 570-455-7486.

Location: 1053 N Church St, Hazleton, PA, 18202-1447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225150493
Provider Name
Mtn City Prosthtics & Orthotics
Credential
Provider Entity Type
Organization
Address
1053 N Church St, Hazleton, PA, 18202-1447
Phone Number
570-455-7486
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215659 01 PA PA BLUE SHIELD
39HA67 01 PA CAPITAL BLUE CROSS
0018417720002 05 PA
28295 01 PA DEMENSION BENEFITS PLAN
814373 01 PA FIRST PRIORITY HEALTH
institution
Provider Business Practice Location Address Details
Address
1053 N Church St
City
Hazleton
State
Pennsylvania
Zip
18202-1447
Phone Number
570-455-7486
Fax Number
person
Provider Business Mailing Address Details
Address
1053 N Church St
City
Hazleton
State
Pennsylvania
Zip
18202-1447
Phone Number
570-455-7486
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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