Provider Demographics
NPI:1578635207
Name:HANGER PROSTHETICS & ORTHOTICS INC
Entity Type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR 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 1:405 W MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3560
Mailing Address - Country:US
Mailing Address - Phone:770-233-8894
Mailing Address - Fax:770-233-8186
Practice Address - Street 1:405 W MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3560
Practice Address - Country:US
Practice Address - Phone:770-233-8894
Practice Address - Fax:770-233-8186
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER ORTHOPEDIC GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-15
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0414330308Medicare NSC