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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000007243
NPI
1578825865
Tax ID
521486235
Effective Date
4/1/2007
Last Updated
8/21/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
731 Leighton Avenue Suite 200
Anniston, AL 36207
United States
County
Calhoun
Phone
2562355664
(
Phone
)
Billing Details
Address
73 Leighton Avenue
Suite 200
Anniston, AL 36207
Billing Phone
2562355664
Specialty Type
Orthotics/Prosthetics, Services
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Address