Provider Demographics
NPI:1710070321
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 1:3135 16TH STREET RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-5247
Mailing Address - Country:US
Mailing Address - Phone:304-697-0234
Mailing Address - Fax:307-697-0235
Practice Address - Street 1:3520 TEAYS VALLEY RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9479
Practice Address - Country:US
Practice Address - Phone:304-562-6001
Practice Address - Fax:936-560-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0414330310Medicare NSC