Organization
SHIELDS ORTHOTIC PROSTHETIC SERVICES, INC.
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
5687 HARRISON BLVD, SOUTH OGDEN, UT 84403-4322
(801) 475-4428
(801) 475-0427
Mailing address
2785 E 3300 S, SALT LAKE CITY, UT 84109-2818
(801) 467-5483
(801) 484-4591
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
—
002961100
—
ID
05
—
107893300
—
WY
Enumeration date
05/09/2006
Last updated
10/17/2014
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