Southside Medical Supply, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Rochester, New York. It is situated at 1900 S. Clinton Ave. Ste 320, Rochester and its contact number is 585-271-7141. The authorized person of Southside Medical Supply, Llc is Ms. Kelly A Doles
who is Billing Manager of the store and his/her contact number is 585-770-2281. Southside Medical Supply, Llc is 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.
Complete Center Profile:
Southside Medical Supply, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
1900 S. Clinton Ave. Ste 320, Rochester, New York, 14618-5719
Phone:
585-271-7141
Fax:
585-419-6163
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Kelly A Doles
Position:
Billing Manager
Contact Number:
585-770-2281
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southside Medical Supply, Llc center are as mentioned below.
NPI Number:
1568413656
NPI Enumeration Date:
13 May, 2006
NPI Last Update On:
25 Nov, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Medical Supply, Llc are as mentioned below.
Specialization
License Number
State
Status
Primary
Secondary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
182719GD
Other
New York
Preferred Care
84V
Medicaid
New York
7273762
Other
New York
Aetna Health, Inc
02742689
Medicaid
New York
P0170059SS
Other
New York
Excellus Blue Cross
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southside Medical Supply, Llc 1900 S. Clinton Ave Ste 320 Roch. Ny 14618, Rochester, New York
Zip:
14618-5719
Phone Number:
585-271-7141
Fax Number:
585-419-6163
Patients can reach Southside Medical Supply, Llc at 1900 S. Clinton Ave. Ste 320, Rochester, New York or can call to book an appointment on 585-271-7141. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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