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NPI Code Detail

MEDICARE: MADISON SURGICAL APPLIANCE CENTRE

MEDICARE: MADISON SURGICAL APPLIANCE CENTRE
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
1335E00000XProsthetic/Orthotic Supplier
2332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124202676
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON SURGICAL APPLIANCE CENTRE
Provider Business Mailing Address
First Line : 4222 MILWAUKEE ST STE 2&3
Second Line :
City : MADISON
State : WI
Zip : 53714-3508
Country : US
Telephone Number : 608-241-7170
Fax Number : 608-241-7190
Provider Business Practice Location Address
First Line : 4222 MILWAUKEE ST STE 2&3
Second Line :
City : MADISON
State : WI
Zip : 53714-3508
Country : US
Telephone Number : 608-241-7170
Fax Number : 608-241-7190
Authorized Official
Title or Position : OWNER
Name : MRS. JEWELL A HUGHES
Credential : CERTIFIED FITTER
Telephone Number : 608-241-7170
Provider Enumeration Date : 12/19/2007
Last Update Date : 08/06/2008

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1104095322 — NEIGHBORHOOD COALITION FOR SHELTER INC.
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1336381292 — MS. PATRICIA G WILLIAMS LCSW, CASAC
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1598059016 — BEN D DAVIS LMSW
Practice Location Address:
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Directions to “MADISON SURGICAL APPLIANCE CENTRE ” Practice Location

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