Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Coosa Valley Limb & Brace
Provider ID
P000006701
NPI
1124014915
Tax ID
631200955
Effective Date
6/15/2003
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_064
Location Details
Address
315 Percy Street
Talladega, AL 35160
United States
County
Talladega
Phone
2563150660 (Phone)
Billing Details
Address
315 Percy Street
Talladega, AL 35160
Billing Phone
2563150660
Specialty Type
Orthotics/Prosthetics, Services
Map
Address