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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000002173
NPI
1730251471
Tax ID
521486235
Effective Date
5/15/1997
Last Updated
1/23/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1526 5th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2053232574
(
Phone
)
Billing Details
Address
1526 5th Avenue South
Birmingham, AL 35233
Billing Phone
2053232574
Specialty Type
Orthotics/Prosthetics, Services
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Address