Organization
INNOVATIVE PROSTHETIC CARE TUPELO LLC
Active
Parent organization
HANGER, INC.
Other names
Innovative Prosthetic Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER, INC.
Authorized official
MS. SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
1714 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 844-2202
(601) 510-1610
Mailing address
9034B CARL LEGETT RD, GULFPORT, MS 39503-6234
(228) 604-0818
(228) 604-0815
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
02/21/2013
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