Provider Demographics
NPI:1619192531
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:GABRIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALSTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:CP, LPO
Authorized Official - Phone:870-489-1803
Mailing Address - Street 1:923 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5349
Mailing Address - Country:US
Mailing Address - Phone:501-327-4342
Mailing Address - Fax:501-336-8176
Practice Address - Street 1:2405 DAVE WARD DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-327-4342
Practice Address - Fax:501-336-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR163734716Medicaid
5807860003Medicare NSC