Provider Demographics
NPI:1679685812
Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Entity type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:6655 QUINCE RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8031
Mailing Address - Country:US
Mailing Address - Phone:901-757-8008
Mailing Address - Fax:901-757-8013
Practice Address - Street 1:6655 QUINCE RD
Practice Address - Street 2:SUITE 124
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8031
Practice Address - Country:US
Practice Address - Phone:901-757-8008
Practice Address - Fax:901-757-8013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER ORTHOPEDIC GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452408Medicaid
0414330235Medicare NSC