BOUTIQUE OF JBACC – NPI #1770763765
Prosthetic/Orthotic Supplier

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.

BOUTIQUE OF JBACC is a DME Supplier located in COLUMBUS, GA. NPPES has assigned the NPI number 1770763765 to BOUTIQUE OF JBACC on November 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOUTIQUE OF JBACC” is a dba name, the actual legal business name for this organization is COLUMBUS REGIONAL HEALTHCARE SYSTEM. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOUTIQUE OF JBACC below.

NPI Profile for
COLUMBUS REGIONAL HEALTHCARE SYSTEM

NPI Number
1770763765
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBUS REGIONAL HEALTHCARE SYSTEM
Doing Business As (dba): BOUTIQUE OF JBACC
Primary location
1831 5TH AVE
COLUMBUS, GA 31904-8915
Phone: (706) 987-3872 Fax:
Mailing address
PO BOX 1038
COLUMBUS, GA 31902-1038
Phone: Fax:
Organization Subpart
No
Authorized Official
CHARLES ADAMS
DIRECTOR OF RETAIL
Phone: (706) 987-3872
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.