Provider Demographics
NPI:1508976671
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:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALSTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:CP, LPO
Authorized Official - Phone:870-536-2171
Mailing Address - Street 1:510 FOREST RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL
Mailing Address - State:AR
Mailing Address - Zip Code:71968-9343
Mailing Address - Country:US
Mailing Address - Phone:870-489-1803
Mailing Address - Fax:870-536-2183
Practice Address - Street 1:1801 W 40TH AVE STE 4A
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603
Practice Address - Country:US
Practice Address - Phone:870-536-2171
Practice Address - Fax:870-536-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROPP0059335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
5784452OtherAETNA
AR163247716Medicaid
48175OtherBCBS
5807860001Medicare NSC