Hanger Clinic

LBN: Eastern Shore Orthotics &
Hanger Clinic is an health care organization with primary practice located at 19484 Greeno Rd , Fairhope AL 36532-3887. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Eastern Shore Orthotics & can be contacted via phone (251) 990-4040, or through Angeline, Grace via phone (714) 961-2102.

Contact Information

Primary practice address
19484 Greeno Rd Fairhope AL 36532-3887
Fax: (251) 990-0594
Website:
Authorized official contact:
Name: Angeline, Grace

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1710987144
LBN Legal business name Eastern Shore Orthotics &
DBA Doing business as Hanger Clinic
Authorized official Angeline, Grace
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jan 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710987144 NPPES
Alabama Other 515-23493 BCBS
Alabama MEDICAID 223100 BCBS

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