Provider Demographics
NPI:1225200629
Name:NEW HOPE PROSTHETICS & ORTHODICS INC
Entity Type:Organization
Organization Name:NEW HOPE PROSTHETICS & ORTHODICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALSTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:CP, BOCP
Authorized Official - Phone:870-536-2171
Mailing Address - Street 1:424 N UNIVERSITY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3266
Mailing Address - Country:US
Mailing Address - Phone:501-661-9048
Mailing Address - Fax:501-664-4663
Practice Address - Street 1:424 N UNIVERSITY AVE STE 1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-661-9048
Practice Address - Fax:501-664-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CP003154335E00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR163249716Medicaid
AR163249716Medicaid