Organization
HANGER PROSTHETICS & ORTHOTICS INC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
906 E 68TH ST, SAVANNAH, GA 31405-4712
(912) 355-4901
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
(912) 355-4901
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
—
000039421B
—
GA
01
—
300018313E
MEDICAID PAYEE #
GA
05
—
549197
—
SC
Enumeration date
11/15/2006
Last updated
11/15/2017
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