Susquehanna Valley Prosthetics & Orthotics Inc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Shamokin Dam, Pennsylvania. This organization is also known as sub part of Susquehanna Valley Prosthetics & Orthotics Inc. It is situated at 3120 N Old Trail, Shamokin Dam and its contact number is 570-743-1414. The authorized person of Susquehanna Valley Prosthetics & Orthotics Inc is Mr. Frank Thomas Dominick Iii
who is Owner Certified Prosthetist of the store and his/her contact number is 570-743-1414. Susquehanna Valley Prosthetics & Orthotics Inc 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:
Susquehanna Valley Prosthetics & Orthotics Inc 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.
3120 N Old Trail, Shamokin Dam, Pennsylvania, 17876
Phone:
570-743-1414
Fax:
570-743-5215
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:
Mr. Frank Thomas Dominick Iii
Position:
Owner Certified Prosthetist
Contact Number:
570-743-1414
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 Susquehanna Valley Prosthetics & Orthotics Inc center are as mentioned below.
NPI Number:
1932194271
Parent Organization:
Susquehanna Valley Prosthetics & Orthotics Inc
NPI Enumeration Date:
13 Sep, 2005
NPI Last Update On:
03 Jan, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susquehanna Valley Prosthetics & Orthotics Inc are as mentioned below.
Specialization
License Number
State
Status
Pennsylvania
Primary
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
116173
Other
Health America
SU206824
Other
Blue Shield
2477665
Other
Pennsylvania
Aetna
340622
Other
Pennsylvania
Health America
39HA76
Other
Keystone Health Plan
SU206824
Other
Pennsylvania
Highmark Blue Shield
0018173000003
Medicaid
Pennsylvania
1511123
Other
Pennsylvania
Gateway
28389
Other
Pennsylvania
Abp Administration
39HA76
Other
Pennsylvania
Capital Blue Cross
57492
Other
Pennsylvania
Geisinger Health Plan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Susquehanna Valley Prosthetics & Orthotics Inc Po Box 243, Shamokin Dam, Pennsylvania
Zip:
17876
Phone Number:
570-743-1414
Fax Number:
570-743-5215
Patients can reach Susquehanna Valley Prosthetics & Orthotics Inc at 3120 N Old Trail, Shamokin Dam, Pennsylvania or can call to book an appointment on 570-743-1414. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.