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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000009017
NPI
1396817029
Tax ID
521486235
Effective Date
11/6/2017
Last Updated
11/29/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2300 Hamilton Road
Columbus, GA 31904
United States
County
Muscogee
Phone
7065960566
(
Phone
)
Billing Details
Address
P.O. Box 650846
Dallas, TX 75265
Billing Phone
2563535226
Specialty Type
Orthotics/Prosthetics, Services
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Address