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PACIFIC FOOTWEAR COMPANY, INC.
NPI 1861632671
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bountiful, UT

Active since March 06, 2009
225 N MAIN ST, BOUNTIFUL, UT 84010(801) 298-1764(801) 295-2445 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific Footwear Company, Inc. NPPES

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

PACIFIC FOOTWEAR COMPANY, INC. (NPI 1861632671), doing business as Priority Footwear & Pedorthic Services, is a healthcare organization registered as a customized equipment in Bountiful, Utah and active in the NPI registry since March 2009. The organization lists Kevin W Clarke, President, as its authorized official.

NPPES Registry Identity

NPI1861632671
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePACIFIC FOOTWEAR COMPANY, INC.
Location Address225 N MAIN STBountiful, UT 84010-6135
Mailing Address10240 Sw Nimbus Ave, Suite L1Portland, OR 97223-4358 · (503) 524-9656 · Fax (503) 524-8397
Phone(801) 298-1764
Fax(801) 295-2445
Organization SubpartNo
Authorized OfficialKevin W ClarkePresident · (503) 524-9656
Enumeration DateMarch 6, 2009
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1861632671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
225 N MAIN ST, Bountiful, UT 84010
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Other Names 1

Doing Business AsPriority Footwear & Pedorthic Services

Other Identifiers 1

Medicaid260051087001UT

Frequently Asked Questions

What is PACIFIC FOOTWEAR COMPANY, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1861632671, enumerated as an "organization" on March 06, 2009.

Where is the provider located?

The provider is located at 225 N MAIN ST BOUNTIFUL, UT 84010 and the phone number is (801) 298-1764.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

What insurance does PACIFIC FOOTWEAR COMPANY, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.