Provider Demographics
NPI:1295005577
Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:1123 1ST ST N
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8897
Mailing Address - Country:US
Mailing Address - Phone:205-664-2009
Mailing Address - Fax:
Practice Address - Street 1:1123 1ST ST N
Practice Address - Street 2:SUITE E
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8897
Practice Address - Country:US
Practice Address - Phone:205-664-2009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-04
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0414330397Medicare NSC