PROSTHETIC & ORTHOTIC SERVICES
NPI 1629301619
Prosthetic/Orthotic Supplier in Walla Walla, WA

Active since September 09, 2009
919 W MAIN ST, WALLA WALLA, WA 99362(509) 525-8322(509) 525-2982 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prosthetic & Orthotic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSTHETIC & ORTHOTIC SERVICES (NPI 1629301619) is a healthcare organization registered as a prosthetic/orthotic supplier in Walla Walla, Washington and active in the NPI registry since September 2009. The organization lists Steve L Kimball, President, as its authorized official.

NPPES Registry Identity

NPI1629301619
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCOLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC
Location Address919 W MAIN STWalla Walla, WA 99362-2746
Mailing AddressPo Box 662Walla Walla, WA 99362-0016 · (509) 525-8322 · Fax (509) 525-2982
Fax(509) 525-2982
Organization SubpartYes
Authorized OfficialSteve L KimballPresident · (509) 525-8322
Enumeration DateSeptember 9, 2009
Last NPPES UpdateApril 6, 2010
NPI 1629301619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

919 W MAIN ST, Walla Walla, WA 99362

Other Names 1

Doing Business AsProsthetic & Orthotic Services

Other Identifiers 3

Medicaid9035353WA
Medicaid500619060OR
Medicare NSC4053320002

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20617043
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Competitive Bidding
NO

Supplies List

  • Lymphedema Compression Treatment Items -

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
919 W MAIN ST
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629301619, enumerated as an "organization" on September 09, 2009.

The provider is located at 919 W MAIN ST WALLA WALLA, WA 99362 and the phone number is (509) 525-8322.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.