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Peninsula Biomedical Inc
Prosthetic/Orthotic Supplier in Wake Forest, North Carolina
NPI 1790796639

Peninsula Biomedical Inc is a Prosthetic/Orthotic Supplier based in Scotts Valley, NC. Peninsula Biomedical Inc practices in Wake Forest, NC. The NPI Number for Peninsula Biomedical Inc is 1790796639 and holds a License No. 00508 (North Carolina).

The current practice location address for Peninsula Biomedical Inc is 500-01 Wait Ave, Wake Forest, NC and can be reached out via phone at 919-556-8934 and via fax at 919-556-0693.

Location: 500-01 Wait Ave, Wake Forest, NC, 95066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790796639
Provider Name
Peninsula Biomedical Inc
Credential
Provider Entity Type
Organization
Address
500-01 Wait Ave, Wake Forest, NC, 95066
Phone Number
919-556-8934
Fax Number
919-556-0693
Provider Enumeration Date
08/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010107199 05 VA
0428V 01 NC BCBS NC
9001254300 05 KY
institution
Provider Business Practice Location Address Details
Address
500-01 Wait Ave
City
Wake Forest
State
North Carolina
Zip
27587
Phone Number
919-556-8934
Fax Number
919-556-0693
person
Provider Business Mailing Address Details
Address
500-01 Wait Ave
City
Wake Forest
State
North Carolina
Zip
27587
Phone Number
919-556-8934
Fax Number
919-556-0693
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
00508 (North Carolina)
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.
00508 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
00508 (North Carolina)
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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