Provider Demographics
NPI:1306146592
Name:ACCURATE PROSTHETICS & ORTHOTICS, INC.
Entity type:Organization
Organization Name:ACCURATE PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HETTENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-493-8400
Mailing Address - Street 1:311 FORT RILEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6357
Mailing Address - Country:US
Mailing Address - Phone:785-320-5060
Mailing Address - Fax:785-320-5461
Practice Address - Street 1:311 FORT RILEY BLVD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6357
Practice Address - Country:US
Practice Address - Phone:785-320-5060
Practice Address - Fax:785-320-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5378850002Medicare NSC