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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000006700
NPI
1699761486
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
305 South 4th Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565490064
(
Phone
)
Billing Details
Address
305 South 4th Street
Gadsden, AL 35901
Billing Phone
2565490064
Specialty Type
Orthotics/Prosthetics, Services
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Address