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HANGER CLINIC
Complete NPI Record 1710367461
Prosthetic/Orthotic Supplier in Danville, PA

NPI Status: Active since June 08, 2015

Contact Information

957 BLOOM RD
DANVILLE, PA
ZIP 17821
Phone: (570) 284-4291
Fax: (570) 284-4294

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Healthcare Provider Taxonomy Code 2
  28. Healthcare Provider Primary Taxonomy Switch 2
  29. Is Organization Subpart
  30. Parent Organization LBN
  31. Parent Organization TIN
  32. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1710367461. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1710367461
The State code in the location of the provider being identified.
Entity Type Code: 2
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Employer Identification Number EIN: UNAVAIL
The country code in the location address of the provider being identified.
The telephone number associated with the location address of the provider being identified.
Provider Other Organization Name: HANGER CLINIC
The fax number associated with the location address of the provider being identified.
Provider Other Organization Name Type Code: 3
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Mailing Address: PO BOX 650846
The date that a record was last updated or changed.
Provider Business Mailing Address City Name: DALLAS
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address State Name: TX
Code 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.
Provider Business Mailing Address Postal Code: 752650846
The 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 : US
The 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 Address: 957 BLOOM RD
The 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 Name: DANVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 178211352
The 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 : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5702844291
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 5702844294
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/8/2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/21/2022
The date that a record was last updated or changed.
Authorized Official Last Name: ANGELINE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: GRACE
The first name of the authorized official.
Authorized Official Title or Position: REG COMPLIANCE SPECIALIST III
The title or position of the authorized official.
Authorized Official Telephone Number: 7149612102
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 332B00000X
Code 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 1: N
Healthcare Provider Taxonomy Code 2: 335E00000X
Healthcare Provider Primary Taxonomy Switch 2: Y
Is Organization Subpart: Y
Parent Organization LBN: HANGER INC
Parent Organization TIN: UNAVAIL
NPI Certification Date: 1/12/2022