HANGER CLINIC


Address: 1516 Hudson St, Suite 105, Longview, WA 98632-3083
Phone: 3604236049

HANGER CLINIC (NPI# 1740720366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740720366
Entity Type Organization
Organization Name HANGER CLINIC
Practice Address 1516 Hudson St
Suite 105
Longview
WA 98632-3083
Practice Telephone 3604236049
Practice Fax Number 3604253690
Mailing Telephone 3604236049
Mailing Fax Number 3604253690
Enumeration Date 2017-03-01
Last Update Date 2017-03-01
Authorized Official Name SHELBY RAE GROPPUSO (ORTHOTIST/PROSTHETIST)
Authorized Official Telephone 3604236049
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HANGER CLINIC 1221 E Spruce Ave Ste 104, Fresno, CA 93720-3374
Oregon Corporations, Companies and Business Names HANGER CLINIC 10910 Domain Dr Ste 300, Austin, TX 78758
Ohio Business Entities HANGER CLINIC 10910 Domain Drive, Suite 300, Austin, TX 78758

Office Location

Street Address 1516 HUDSON ST
SUITE 105
City LONGVIEW
State WA
Zip Code 98632-3083

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649364647 Jd Troy Dentist 1516 Hudson St, Suite 101, Longview, WA 98632-3083 2006-10-03
1154710119 Kirsten Marie Dehnert Emergency Medical Technician, Paramedic 1516 Hudson St, Suite 105, Longview, WA 98632-3083 2015-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326290248 Genesis Medical Group, LLC. Prosthetic/Orthotic Supplier 1338 Commerce Ave Ste D, Longview, WA 98632-3743 2008-10-22
1184822793 Steven G Mccullough and David W Holt Orthotics & Prosthetics, LLC Prosthetic/Orthotic Supplier 422 N Green St, Longview, TX 75601-6458 2007-07-05
1447344296 Ava Inc. Prosthetic/Orthotic Supplier 1113 Vandercook Way, Suite 120, Longview, WA 98632-4024 2006-10-03
1750323713 Edgar De La Fuente Prosthetic/Orthotic Supplier 719 N. Second Street, Longview, TX 75601-5316 2006-06-12
1629379490 Steven Glenn Mccullough Prosthetic/Orthotic Supplier 422 N Green St, Longview, TX 75601-6458 2010-11-10
1992934053 Prosthetic-orthotic Associates of East Texas, Inc. Prosthetic/Orthotic Supplier 414 E Loop 281, Suite 20, Longview, TX 75605-7930 2009-07-10
1508048984 East Texas Prosthetic-orthotic Care Prosthetic/Orthotic Supplier 812 N 4th St, Longview, TX 75601-5413 2007-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699317784 Preferred Orthotic and Prosthetic Services, Inc Prosthetic/Orthotic Supplier 520 S Cowley St Ste 104, Spokane, WA 99202-1315 2019-10-10
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1063906295 Wmc Inc Prosthetic/Orthotic Supplier 2600 3rd Ave Ste B, Seattle, WA 98121-1293 2018-06-20
1174934707 Nw Magnum LLC Prosthetic/Orthotic Supplier 108 Central Way, Kirkland, WA 98033-6106 2014-05-16
1205100013 Cadence Biomedical, Inc. Prosthetic/Orthotic Supplier 146 N Canal St Ste 100, Seattle, WA 98103-8652 2012-02-27
1174807853 Dental Sleep Therapy of Walla Walla Pllc Prosthetic/Orthotic Supplier 213 S 2nd Ave, Walla Walla, WA 99362-3002 2011-09-29
1922396159 Hair Options Prosthetic/Orthotic Supplier 7106 Greenwood Ave N, Seattle, WA 98103-5038 2011-07-21
1083902746 Seattle Cancer Care Alliance Prosthetic/Orthotic Supplier 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 2011-07-15
1457645426 Rcm Enterprise, LLC Prosthetic/Orthotic Supplier 8526 Delphi Rd Sw, Olympia, WA 98512-9349 2011-06-07
1417255019 Beauty N Kurves LLC Prosthetic/Orthotic Supplier 513 1st Ave W, Seattle, WA 98119-3925 2011-03-05
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Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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