Medicare Supplier GALLUP LIMB AND BRACE CO INC Details

Globally Unique Supplier Identifier: 20663375

medicare equipment supplier status:  active since 1998-01-01

Supplier: GALLUP LIMB AND BRACE CO INC

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20663375
Globally Unique Supplier Identifier
Company Name GALLUP LIMB AND BRACE CO INC
Supplier Company Name
Doing Business As (DBA) GALLUP LIMB AND BRACE CO INC
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 1998-01-01
Participation Begin Date
Address Line 927 W AZTEC AVE
Delivery Address Line
City GALLUP
Business Address City
State NM
Business Address State
Zip 87301-6609
Business Address Zip
Phone Number 505-722-5756
Business Phone Number
Specialities List
  • MSC With Orthotic-Prosthetic
  • Orthotic Personnel
  • Prosthetic Personnel
Specialities List
Product Category Name(s)
  • Breast Prostheses and/or Accessories
  • Contracture Treatment Devices: Dynamic Splint
  • Diabetic Shoes and Inserts
  • Diabetic Shoes/Inserts - Custom
  • Limb Prostheses
  • Orthoses: Custom Fabricated
  • Orthoses: Off-The-Shelf
  • Orthoses: Prefabricated (Non-Custom Fabricated)
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 35.52338
Business Practice Latitude
Longitude -108.75168
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

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