Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Active OrganizationEVERGREEN PROSTHETICS AND ORTHOTICS, LLC is a Prosthetic/Orthotic Supplier organization located in FRUITLAND, Idaho. NPI 1578150454 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · FRUITLAND, ID
Registration Details
- NPI Number
- 1578150454
- Provider Type
- Organization
- NPI Issued
- Dec 28, 2020 (5.6492356555227 yrs)
- Last Updated
- Nov 1, 2023
Practice Information
- Address
-
425 S WHITLEY DR STE 431FRUITLAND, ID, 836192611Browse ID providers · Browse ZIP 83619
- Phone
- 2088841294
- Fax
- 2088841293
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Organizations in FRUITLAND, ID
| Name | NPI |
|---|---|
| IDAHO ORTHOTIC PROSTHETIC SERVICES, INC | 1801942354 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.