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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000002179
NPI
1255405304
Tax ID
521486235
Effective Date
6/15/2003
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
456 St. Lukes Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
3343960405
(
Phone
)
Billing Details
Address
456 St. Lukes Drive
Montgomery, AL 36117
Billing Phone
3343960405
Specialty Type
Orthotics/Prosthetics, Services
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Address