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Southwest Mo Foot Clinics
Prosthetic/Orthotic Supplier in Joplin, Missouri
NPI 1588858997

Southwest Mo Foot Clinics is a Prosthetic/Orthotic Supplier based in Joplin, MO. Southwest Mo Foot Clinics practices in Joplin, MO. The NPI Number for Southwest Mo Foot Clinics is 1588858997 and holds a License No. 2006009605 (Missouri).

The current practice location address for Southwest Mo Foot Clinics is 2024 S Maiden Ln Ste 201, Joplin, MO and can be reached out via phone at 417-782-7500 and via fax at 417-782-7524.

Location: 2024 S Maiden Ln Ste 201, Joplin, MO, 64803-3592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588858997
Provider Name
Southwest Mo Foot Clinics
Credential
Provider Entity Type
Organization
Address
2024 S Maiden Ln Ste 201, Joplin, MO, 64803-3592
Phone Number
417-782-7500
Fax Number
417-782-7524
Provider Enumeration Date
08/29/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
626280200 05 MO
P00408461 01 MO RAILROAD MEDICARE PROVIDE
DG0016 01 MO RAILROAD MEDICARE GROUP
212522 01 MO BCBS MO
000015173 01 MO MEDICARE GROUP MO
114142 01 KS KANSAS MEDICARE PROVIDER
114206 01 KS KANSAS MEDICARE GROUP
301595708 05 MO
20422090B 05 KS
504920901 05 MO
institution
Provider Business Practice Location Address Details
Address
2024 S Maiden Ln Ste 201
City
Joplin
State
Missouri
Zip
64804-0319
Phone Number
417-782-7500
Fax Number
417-782-7524
person
Provider Business Mailing Address Details
Address
2024 S Maiden Ln Ste 201
City
Joplin
State
Missouri
Zip
64804-0319
Phone Number
417-782-7500
Fax Number
417-782-7524
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2006009605 (Missouri)
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
Customized Equipment
Taxonomy
332BC3200X
License No.
2006009605 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
2006009605 (Missouri)
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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