MEDICARE: HANGER PROSTHETICS & ORTHOTICS EAST INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477665628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS EAST INC.

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:	816-505-9001
Fax Number	:	775-248-4743

Provider Business Practice Location Address
First Line	:	4320 WORNALL RD STE 452
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3248
Country	:	US
Telephone Number	:	816-756-3004
Fax Number	:	816-745-2853

Authorized Official
Title or Position	:	REG COMPLIANCE SPECIALIST III
Name	:	GRACE ANGELINE
Credential	:
Telephone Number	:	714-961-2102

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/08/2021

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