Organization
EXCEL 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
1700 VINEYARD ST, BLUEFIELD, WV 24701-4025
(304) 323-2278
(304) 323-2846
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
—
009190198
—
VA
05
—
0147037000
—
WV
05
—
1427147123
—
VA
05
—
1427147123
—
WV
Enumeration date
10/12/2006
Last updated
02/03/2021
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