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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVOST SHOES

Active Organization

PROVOST SHOES is a Durable Medical Equipment & Medical Supplies organization located in BLOOMSBURG, Pennsylvania. NPI 1972743268 is currently active in the NPPES registry. Verify at CMS.

Durable Medical Equipment & Medical Supplies · BLOOMSBURG, PA

Registration Details

NPI Number
1972743268
Provider Type
Organization
NPI Issued
Feb 25, 2009 (17.510024489184 yrs)
Last Updated
Feb 25, 2009
License
4244780001 (PA)

Practice Information

Address
225 COLUMBIA MALL DR
BLOOMSBURG, PA, 178158368
Browse PA providers · Browse ZIP 17815
Phone
5707844645
Fax
5704557704

Other Durable Medical Equipment & Medical Supplies Organizations in BLOOMSBURG, PA

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.