HANGER CLINIC Full NPI Record 1013081991
Prosthetic/Orthotic Supplier in Jackson, TN

Complete NPI Dataset

The following table represents the complete NPI 1013081991 dataset for Hanger Clinic in 779 W FOREST AVE JACKSON, TN 38301. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1013081991The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameHANGER PROSTHETICS & ORTHOTICS INCThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameHANGER CLINICOther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing AddressPO BOX 650846The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameDALLASThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameTXThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code752650846The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address779 W FOREST AVEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameJACKSONThe city name in the location address of the provider being identified.


Provider Business Practice Location Address State NameTNThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code383013943The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number9014225925The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date11/20/2006The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date12/12/2021The date that a record was last updated or changed.
Authorized Official Last NameANGELINEThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameGRACEThe first name of the authorized official.
Authorized Official Title or PositionREG COMPLIANCE SPECIALIST IIIThe title or position of the authorized official.
Authorized Official Telephone Number7149612102The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1332B00000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1N
Healthcare Provider Taxonomy Code 2335E00000X
Healthcare Provider Primary Taxonomy Switch 2Y
Other Provider Identifier 11452409Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 105Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1TN
Is Organization SubpartY
Parent Organization LBNHANGER INC
Parent Organization TINUNAVAIL
NPI Certification Date12/12/2021