ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC (NPI# 1265420616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265420616 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC |
| Practice Address |
2230 E 25th St Idaho Falls ID 83404 |
| Mailing Address |
102 Woodmont Blvd Suite 120 Nashville TN 37205 |
| Practice Telephone | 2085243230 |
| Practice Fax Number | 2085243231 |
| Mailing Telephone | 6155508774 |
| Mailing Fax Number | 6154545352 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | AARON KRATOHVIL (CONTROLLER) |
| Authorized Official Telephone | 6155508760 |
| Is Organization Subpart | Y |
| Parent Organization Name | BULOW HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | POC BLUE CROSS ID# | 89730 | 01 |
| ID | 002498200 | 05 | |
| ID | IF BLUE CROSS | 89748 | 01 |
| ID | BLUE SHIELD | 071705 | 01 |
| WY | 100005500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679630032 | Rocky Mountain Artificial Limb & Brace, Inc | Prosthetic/Orthotic Supplier | 1515 N. 400 E, Logan, UT 84341 | 2007-01-03 |
| 1619043783 | Rocky Mountain Artificial Limb & Brace, Inc | Prosthetic/Orthotic Supplier | 2350 Via Caporatti Dr Ste B, Pocatello, ID 83201-5095 | 2006-11-28 |
| Street Address |
2230 E 25TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427375724 | Performance Therapy, LLC | Prosthetic/Orthotic Supplier | 2922 Cortez Ave, Idaho Falls, ID 83404-7554 | 2010-04-26 |
| 1760514780 | Idaho Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2595 Channing Way, Idaho Falls, ID 83404-7516 | 2007-03-12 |
| 1578645339 | Mark A Weight Md PC | Prosthetic/Orthotic Supplier | 2355 Coronado St, Idaho Falls, ID 83404-7407 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228591 | Idaho Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 476 Cheney Dr W Ste 160, Twin Falls, ID 83301-3790 | 2020-03-03 |
| 1619508702 | Evergreen Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 1500 E Heritage Park St Ste 100, Meridian, ID 83646-5884 | 2020-01-28 |
| 1346803335 | Rehab Systems, Inc. | Prosthetic/Orthotic Supplier | 504 N 10th Ave Ste A, Caldwell, ID 83605-2925 | 2019-04-16 |
| 1588148134 | Dondell Inc. | Prosthetic/Orthotic Supplier | 2102 Caldwell Blvd Ste 116, Nampa, ID 83651-1513 | 2018-09-19 |
| 1598294811 | Ankle Roll Guard, LLC | Prosthetic/Orthotic Supplier | 560 W Ashby Dr, Meridian, ID 83646-4131 | 2017-06-08 |
| 1881126324 | Norco, Inc | Prosthetic/Orthotic Supplier | 163 Thula St Ste 6, Mccall, ID 83638-4429 | 2017-04-03 |
| 1861872269 | Orthopro of Twin Falls, Inc. | Prosthetic/Orthotic Supplier | 1200 Overland Ave, Suite 1, Burley, ID 83318-1867 | 2015-06-02 |
| 1881931319 | Occupational Therapy Unlimited, LLC | Prosthetic/Orthotic Supplier | 30 E Little Ave, Driggs, ID 83422-5138 | 2013-01-03 |
| 1023379377 | Kootenai Prosthetic Orthotic Services Inc | Prosthetic/Orthotic Supplier | 1160 E Polston Ave, Post Falls, ID 83854-6045 | 2012-06-04 |
| 1265756886 | Brownfields Inc | Prosthetic/Orthotic Supplier | 1912 E Franklin Rd, Meridian, ID 83642-5906 | 2010-03-25 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.