Provider Demographics
NPI:1255769766
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:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALSTER
Authorized Official - Suffix:
Authorized Official - Credentials:CP, LPO
Authorized Official - Phone:870-536-7121
Mailing Address - Street 1:859 HIGHWAY 1 S
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-5963
Mailing Address - Country:US
Mailing Address - Phone:662-334-1944
Mailing Address - Fax:870-536-1762
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:870-536-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSIN PROGRESS335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSPENDINGMedicaid
MSPENDINGMedicare PIN