Provider Demographics
NPI:1750975157
Name:TRUENORTH UPPER EXTREMITY AND ORTHOPEDIC SPECIALISTS, LLC
Entity type:Organization
Organization Name:TRUENORTH UPPER EXTREMITY AND ORTHOPEDIC SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HEISER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:406-314-6060
Mailing Address - Street 1:185 COMMONS LOOP STE D
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-1913
Mailing Address - Country:US
Mailing Address - Phone:417-818-0203
Mailing Address - Fax:
Practice Address - Street 1:185 COMMONS LOOP STE D
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1913
Practice Address - Country:US
Practice Address - Phone:417-818-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty