Organization
MIDLANDS PROSTHETICS ADN ORTHOTICS
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
147 PENDLETON ST NW, AIKEN, SC 29801-3859
(803) 641-6007
(803) 641-6047
Mailing address
P O BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
002 25859 5
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00943379A
—
GA
05
—
DE1980
—
SC
Enumeration date
08/15/2005
Last updated
02/07/2022
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