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MIDLANDS PROSTHETICS & ORTHOTICS NPI 1134203607


NPI Information

NPI: 1134203607
Provider Name: MIDLANDS PROSTHETICS & ORTHOTICS

Doing Business As: HANGER CLINIC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1018 DRUID PARK AVE
AUGUSTA, GA
ZIP 30904
Phone: (706) 737-7371
Get Directions

MIDLANDS PROSTHETICS & ORTHOTICS is a prosthetic orthotic supplier in Augusta, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MIDLANDS PROSTHETICS & ORTHOTICS NPI is 1134203607. The provider is registered as an organization entity type.
The provider Is Doing Business As Hanger Clinic.

The provider's business location address is:

1018 DRUID PARK AVE
AUGUSTA, GA
ZIP 30904-848
Phone: (706) 737-7371
Fax: (706) 737-7372

The provider's authorized official is Grace Angeline .
The authorized official title is Reg Compliance Specialist Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 2/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment000008GEORGIANo
3335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE1980MEDICAIDSOUTH CAROLINA
2000943379BMEDICAIDGEORGIA
310045167OTHERGEORGIAAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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