OTTO BOCK HEALTHCARE LP (NPI# 1003025958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003025958 |
Entity Type | Organization |
Organization Name | OTTO BOCK HEALTHCARE LP |
Practice Address |
2350 34th St Lubbock TX 79411-1634 |
Mailing Address |
Two Carlson Pkwy - Ste 100 Attn Sharon Clark/contracts Minneapolis MN 55447-4467 |
Practice Telephone | 8067973664 |
Practice Fax Number | 8005999852 |
Mailing Telephone | 7632535679 |
Mailing Fax Number | 7632535779 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2008-07-03 |
Authorized Official Name | SHARON KAY CLARK (PAYOR RELATIONS & CONTRACT ADMIN) |
Authorized Official Telephone | 7632535679 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0094586 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CCN PIN# | 5453317 | 01 |
TX | NORTHWOOD PIN | 82108 | 01 |
TX | CARE CENTRIX PIN# | 1220 | 01 |
TX | AETNA HMO PIN | 2624721 | 01 |
TX | ABP DMENSION PIN# | 26106 | 01 |
TX | BCBS TX | 532251 | 01 |
TX | USA MCO PIN | 861099 | 01 |
TX | 163899102 | 05 | |
TX | AETNA HMO PIN # | 2624721 | 01 |
TX | FIRST CARE | 105234101 | 01 |
TX | AETNA NON HMO # | 7850253 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
1396926580 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8897 Duncan Rd, San Diego, CA 92126-2435 | 2007-11-16 |
1174703896 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 19 Olney Dr, Buffalo, NY 14226-3341 | 2007-11-09 |
1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
1194922401 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1468 Madison Ave, Box 1241, Guggenheim Pavillion, Mc Level, New York, NY 10029 | 2007-06-29 |
1518164276 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 5012 Oxfordshire Rd, Waxhaw, NC 28173-7324 | 2007-06-27 |
1659572352 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 440 North State Rd 7, Suite F, Royal Palm Beach, FL 33411-3504 | 2007-05-30 |
1285845131 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1002 Marquette St # B, Bay City, MI 48706-4023 | 2007-05-24 |
1992914840 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1705 Ohio Dr Ste 200, Plano, TX 75093-5257 | 2007-05-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | OTTO BOCK HEALTHCARE LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
Virginia Business Entities | Otto Bock HealthCare LP | Two Carlson Pkwy North Ste 100, Plymouth, Minnesota 55447 |
New York State Corporations | OTTO BOCK HEALTHCARE LP | 80 State Street, Albany, New York 12207-2543 |
Colorado Business Entities | Otto Bock HealthCare LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
North Carolina Corporations | Otto Bock Healthcare LP | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
Oklahoma Business Registrations | OTTO BOCK HEALTHCARE LP | Two Carlson Parkway N, Suite 100, Plymouth, MN 55447-4467 |
Street Address |
2350 34TH ST |
City | LUBBOCK |
State | TX |
Zip Code | 79411-1634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649429937 | Otto Bock Healthcare, Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2008-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720291842 | Robert W.buchanan Dc Pa | Chiropractor | 1807 34th Street, Lubbock, TX 79411 | 2007-05-07 |
1689886319 | City of Lubbock Health Department | Clinical Medical Laboratory | 1902 Texas Ave, Lubbock, TX 79411 | 2007-05-04 |
1104479229 | Heartbeat Midwifery Pllc | Clinic/Center | 2409 20th St, Lubbock, TX 79411-1003 | 2019-07-17 |
1932448230 | Trisha Kay Green | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-02-06 |
1033450226 | Morgan Rees | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-03-13 |
1639419096 | Aileen Tan | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-02-21 |
1255874749 | Marcos Junior Vallejo | Specialist/Technologist | 2418 22nd St, Lubbock, TX 79411-1010 | 2016-12-01 |
1962618702 | Sara Elizabeth Blakeslee | Marriage & Family Therapist | 2214 21st St Apt A, Lubbock, TX 79411-1137 | 2007-05-16 |
1356364814 | Maribeth Dennis | Counselor | 2421 27th St, Lubbock, TX 79411-1301 | 2006-07-25 |
1790805075 | Sue Key Sanders | Counselor | 2429 28th St, Lubbock, TX 79411-1305 | 2007-03-30 |
Find all providers in zip 79411 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801439344 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 303 Paris Ave, Lubbock, TX 79401-1237 | 2019-10-28 |
1861904898 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 808 Joliet Ave Unit 210, Lubbock, TX 79415-1158 | 2017-10-31 |
1891222907 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 12402 Slide Rd Bldg 4 Ste 401, Lubbock, TX 79424-8323 | 2017-05-19 |
1659808434 | United Supermarkets, LLC | Durable Medical Equipment & Medical Supplies | 6313 4th St, Lubbock, TX 79416-4006 | 2017-05-11 |
1720436959 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9809 University Ave, Lubbock, TX 79423-5301 | 2016-05-27 |
1992162341 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 11415 Quaker Ave, Lubbock, TX 79424-7693 | 2016-01-15 |
1740698158 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 6313 Homestead Ave, B, Lubbock, TX 79424-5932 | 2014-07-29 |
1164863619 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 608 North Slide Rd, Lubbock, TX 79416 | 2013-07-12 |
1194164889 | Texas Incontinence Supply LLC | Durable Medical Equipment & Medical Supplies | 8820 14th St, Lubbock, TX 79416-6218 | 2013-06-17 |
1578805156 | Mercury Medical | Durable Medical Equipment & Medical Supplies | 2508 20th St, Lubbock, TX 79410-1507 | 2013-03-21 |
Find all providers in LUBBOCK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.