=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750524245
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANGER PROSTHETICS & ORTHOTICS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2009
-----------------------------------------------------
Last Update Date | 07/28/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 ROCKY MOUNTAIN AVE STE 2100 NORTH MEDICAL OFFICE BUILDING
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80538-9004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-619-6585
-----------------------------------------------------
Fax | 970-619-6591
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 ROCKY MOUNTAIN AVE STE 2100 NORTH MEDICAL OFFICE BUILDING
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80538-9004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-619-6585
-----------------------------------------------------
Fax | 970-619-6591
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF REIMBURSEMENT
-----------------------------------------------------
Name | SHERYL S PRICE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 503-493-8288
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------