Provider Demographics
NPI:1992700389
Name:PA ARTIFICIAL LIMB & BRACE CO., INC.
Entity type:Organization
Organization Name:PA ARTIFICIAL LIMB & BRACE CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-868-5231
Mailing Address - Street 1:224 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1806
Mailing Address - Country:US
Mailing Address - Phone:814-868-5231
Mailing Address - Fax:814-868-5232
Practice Address - Street 1:224 W 26TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1806
Practice Address - Country:US
Practice Address - Phone:814-868-5231
Practice Address - Fax:814-868-5232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000154842OtherANTHEM
PA287952OtherHIGHMARK
PA8675613OtherCIGNA
OH0342212Medicaid
OH8675613OtherCIGNA
PA140289OtherHEALTH AMERICA
PA287952OtherWRIGHT & FILIPPS
PA0005681300003Medicaid
PW219593OtherUPMC
PA140289OtherHEALTH AMERICA
PA8675613OtherCIGNA
OH=========OtherAETNA
OH0249590002Medicare NSC
OH=========-005OtherMEDICAL MUTUAL OF OHIO