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 IV)
(714) 961-2102
Entity
Organization
Contact information
Practice address
241 SMITHVILLE CHURCH RD, STE 4, WARNER ROBINS, GA 31088-8980
(478) 971-3315
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
01
—
300015763T
MEDICAID PAYEE #
GA
05
—
969515941A
—
GA
05
—
969515941B
—
GA
Enumeration date
11/15/2006
Last updated
06/21/2022
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