Provider Demographics
NPI:1215983903
Name:QUALITY PROSTHETIC CARE INC.
Entity type:Organization
Organization Name:QUALITY PROSTHETIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:269-963-9696
Mailing Address - Street 1:424 RIVERSIDE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3440
Mailing Address - Country:US
Mailing Address - Phone:269-963-9696
Mailing Address - Fax:269-963-7099
Practice Address - Street 1:424 RIVERSIDE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3440
Practice Address - Country:US
Practice Address - Phone:269-963-9696
Practice Address - Fax:269-963-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A31262OtherBCBS
MI36599OtherCOMMUNITY CHOICE PROVIDER
MI13350OtherHEALTH PLAN OF MI PROVIDE
MI30948006Medicaid
MI520A302980OtherBC PROSTHETIC PROVIDER #
MI1776OtherNORTHWOOD PROVIDER #
MI510A303160OtherBC ORTHOTIC PROVIDER #
MI520A302980OtherBC PROSTHETIC PROVIDER #