Organization
HANGER PROSTHETICS & ORTHOTICS EAST INC
Active
Parent organization
HANGER INC
Other names
Hanger Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (PROVIDER CONTRACT ANALYST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2594 E JOYCE BLVD STE 2, BLDG E, FAYETTEVILLE, AR 72703-3925
(479) 750-4294
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100794930V
—
OK
05
—
139846716
—
AR
Enumeration date
11/20/2006
Last updated
05/25/2024
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