MEDICARE: EMERGEORTHO, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073205811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGEORTHO, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 TERRELL PARK DR STE 101
Second Line	:
City	:	SHERRILLS FORD
State	:	NC
Zip	:	28673-9509
Country	:	US
Telephone Number	:	828-464-3771
Fax Number	:

Authorized Official
Title or Position	:	VBO DIRECTOR
Name	:	DARCI LYNN HARVEY
Credential	:
Telephone Number	:	828-294-7793

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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