Provider Demographics
NPI:1326277518
Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:HANGER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:612 JEFFERSON ST
Mailing Address - Street 2:UNIT 18
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3708
Mailing Address - Country:US
Mailing Address - Phone:910-640-1418
Mailing Address - Fax:910-640-1927
Practice Address - Street 1:612 JEFFERSON ST
Practice Address - Street 2:UNIT 18
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3708
Practice Address - Country:US
Practice Address - Phone:910-640-1418
Practice Address - Fax:910-640-1927
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-08
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705080Medicaid
0414330376Medicare NSC