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
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
Specialty Type
Orthotics/Prosthetics, Services
Map
Address