Organization
BARTH ORTHOTIC AND PROSTHETIC SERVICES, P.C,
Active
Parent organization
HANGER INC.
Other names
Hanger Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC.
Authorized official
MS. SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
355 W CARPENTER ST, SUITE B, SPRINGFIELD, IL 62702-4922
(217) 789-1450
(217) 789-1454
Mailing address
355 W CARPENTER ST, SUITE B, SPRINGFIELD, IL 62702-4922
(217) 789-1450
(217) 789-1454
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
—
0008432043
BLUE CROSS BLUE SHIELD IL
IL
01
—
174655
PERSONAL CARE
IL
05
—
322465121001
—
IL
05
—
361442736001
—
IL
Enumeration date
10/06/2005
Last updated
07/18/2013
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