Provider Demographics
NPI:1568587566
Name:CENTRAL FABRICATION, INC.
Entity Type:Organization
Organization Name:CENTRAL FABRICATION, INC.
Other - Org Name:CFI PROSTHETICS-ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:TED
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:901-725-0060
Mailing Address - Street 1:7545 AIRWAYS BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-5806
Mailing Address - Country:US
Mailing Address - Phone:662-349-7122
Mailing Address - Fax:662-349-7192
Practice Address - Street 1:7545 AIRWAYS BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5806
Practice Address - Country:US
Practice Address - Phone:662-349-7122
Practice Address - Fax:662-349-7192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier