1962728808 NPI number — HANGER PROSTHETICS & ORTHOTICS EAST INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962728808 NPI number — HANGER PROSTHETICS & ORTHOTICS EAST INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANGER PROSTHETICS & ORTHOTICS EAST INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962728808
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1349 NW 121ST ST
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
CLIVE
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50325-8145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-243-1443
Provider Business Mailing Address Fax Number:
515-225-2218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1349 NW 121ST ST
Provider Second Line Business Practice Location Address:
STE 300
Provider Business Practice Location Address City Name:
CLIVE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50325-8145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-243-1443
Provider Business Practice Location Address Fax Number:
515-225-2218
Provider Enumeration Date:
04/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
PRICE
Authorized Official First Name:
SHERYL
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DIRECTOR OF REIMBURSEMENT
Authorized Official Telephone Number:
503-493-8288

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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