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Evergreen Prosthetics and Orthotics, LLC

Prosthetic/Orthotic Supplier in Fruitland, ID · enumerated 2020 · authorized official Timothy O'Neill, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578150454

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Prosthetics and Orthotics, LLC
Practice address 425 S Whitley Dr Ste 431, Fruitland, ID, 83619
Phone (208) 884-1294
Fax (208) 884-1293
Enumeration date Dec 28, 2020
Last updated in NPPES Nov 1, 2023

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Timothy O'Neill
Title President
Phone (503) 407-5408

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evergreen Prosthetics and Orthotics, LLC?
Evergreen Prosthetics and Orthotics, LLC is registered in NPPES as a Prosthetic/Orthotic Supplier (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-01.