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NPI Code Detail

MEDICARE: ROCCO PROSTHETIC AND ORTHOTIC CENTER INC

MEDICARE: ROCCO PROSTHETIC AND ORTHOTIC CENTER INC
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 Supplier199OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000016760OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427115955
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCCO PROSTHETIC AND ORTHOTIC CENTER INC
Provider Business Mailing Address
First Line : 2375 FLORENCE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2466
Country : US
Telephone Number : 513-281-2800
Fax Number : 513-281-0420
Provider Business Practice Location Address
First Line : 2375 FLORENCE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2466
Country : US
Telephone Number : 513-281-2800
Fax Number : 513-281-0420
Authorized Official
Title or Position : CEO/BUSINESS MANAGER
Name : MR. KURT R ROCCO
Credential :
Telephone Number : 513-281-2800
Provider Enumeration Date : 01/03/2007
Last Update Date : 02/23/2015

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Directions to “ROCCO PROSTHETIC AND ORTHOTIC CENTER INC ” Practice Location

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