Organization
PROSTHETIC CENTER OF EXCELLENCE, A NEVADA CORPORATION
Active
Parent organization
HANGER INC
Other names
Hanger Clinic, Prosthetic Center of Excellence
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
2047 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-2251
(702) 384-1410
(702) 384-0479
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
—
003302169
—
NV
Enumeration date
09/30/2005
Last updated
11/14/2023
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