MEDICARE: HGNS INVESTMENTS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1669573416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HGNS INVESTMENTS

Provider Business Mailing Address
First Line	:	859 S YELLOWSTONE HWY
Second Line	:	SUITE 101
City	:	REXBURG
State	:	ID
Zip	:	83440-5293
Country	:	US
Telephone Number	:	208-522-6433
Fax Number	:	208-522-8443

Provider Business Practice Location Address
First Line	:	859 S YELLOWSTONE HWY
Second Line	:	SUITE 101
City	:	REXBURG
State	:	ID
Zip	:	83440-5293
Country	:	US
Telephone Number	:	208-522-6433
Fax Number	:	208-522-8443

Authorized Official
Title or Position	:	MANAGER AUTHORIZED OFFICIAL
Name	:	CHRYSTINE HENDRICKS
Credential	:
Telephone Number	:	208-522-6433

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/22/2012

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