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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 (REG COMPLIANCE SPECIALIST IV)
(714) 961-2102
Entity
Organization

Contact information

Practice address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2933
(336) 768-1933
(336) 768-4869
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
562182959
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0487N
BCBS
NC
01
2021053
HMO AETNA NUMBER
NC
01
32953
PARTNERS MEDICARE CHOICE
NC
01
4496224
NON HMO AETNA NUMBER
NC
05
7703164
NC
05
7795063
NC
05
9110925
NC
01
A9348
MEDCOST
NC
Enumeration date
10/12/2005
Last updated
03/09/2023
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