Organization · NPI-2

Hanger Prosthetics & Orthotics INC

Prosthetic/Orthotic Supplier · Hattiesburg, MS

NPI number1376615013

StatusActive

Last updated in NPPESDec 9, 2023

Details

NPI: 1376615013
Entity type: Organization (NPI-2)
Legal business name: Hanger Prosthetics & Orthotics INC
Organization subpart: Yes
Enumeration date: Nov 15, 2006
Certification date: Dec 9, 2023
Last updated: Dec 9, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
335E00000X	Prosthetic/Orthotic Supplier	–	–	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Other names

Hanger Clinic (Doing Business As)

Practice location

1104 S 28th Ave
Hattiesburg, MS 39402-2609

Phone 601-268-5520 · Fax 601-268-8914

Mailing address

Po Box 650846
Dallas, TX 75265-0846

Authorized official

Grace Angeline
Provider Contract Analyst III
7149612102

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.