Provider Demographics
NPI:1609127455
Name:VIRGINIA PROSTHETICS, INC.
Entity Type:Organization
Organization Name:VIRGINIA PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:540-366-8287
Mailing Address - Street 1:4338 WILLIAMSON RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-2821
Mailing Address - Country:US
Mailing Address - Phone:540-366-8287
Mailing Address - Fax:540-366-8287
Practice Address - Street 1:439 W KINGS HWY
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5013
Practice Address - Country:US
Practice Address - Phone:336-623-6500
Practice Address - Fax:336-623-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment