CENTRAL FABRICATION, INC. (NPI# 1568587566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568587566 |
Entity Type | Organization |
Organization Name | CENTRAL FABRICATION, INC. |
Other Organization Name | CFI PROSTHETICS-ORTHOTICS |
Practice Address |
7545 Airways Blvd Suite 2 Southaven MS 38671-5806 |
Practice Telephone | 6623497122 |
Practice Fax Number | 6623497192 |
Mailing Telephone | 6623497122 |
Mailing Fax Number | 6623497192 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RONALD TED SNELL (PRESIDENT) |
Authorized Official Telephone | 9017250060 |
Authorized Official Credential | CP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
CFI Prosthetics-Orthotics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912046186 | Central Fabrication, Inc. | Prosthetic/Orthotic Supplier | 1665 N Shelby Oaks Dr Ste 105, Memphis, TN 38134-7437 | 2007-02-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CENTRAL FABRICATION, INC. | Fourth Avenue Plaza 1001 4th Ave 32nd Flr, Seattle, WA 98154 |
Street Address |
7545 AIRWAYS BLVD SUITE 2 |
City | SOUTHAVEN |
State | MS |
Zip Code | 38671-5806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699761387 | Gregory D Dabov | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2005-09-27 |
1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
1710421946 | Bobbi Mcwhinney | Specialist/Technologist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2016-12-07 |
1083023675 | Jerrica Thomas | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-08-07 |
1477960490 | Tanya Mcfadden | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-22 |
1093122145 | Jennifer Dixon Brown | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
1730596883 | Margaret Kedia | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
1407263056 | Marie Joyce Barron | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-15 |
1962757740 | Danielle L Johnson | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-07-18 |
1013278084 | William Jacob Weller | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
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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 |
---|---|---|---|---|
1598006389 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 1880 Goodman Road E, Southaven, MS 38672-6433 | 2013-03-05 |
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1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
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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.