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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000002184
Tax ID
521486235
Effective Date
6/15/2003
Last Updated
8/21/2014
Direct Contract
Yes
Term Date
5/17/2013
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
801 East Avalon Avenue Suite 208
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563834030
(
Phone
)
Billing Details
Address
801 East Avalon Avenue
Suite 208
Muscle Shoals, AL 35661
Billing Phone
2563834030
Specialty Type
Orthotics/Prosthetics, Services
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Address