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Contract Details
Hanger Prosthetics & Orthotic, Inc.
Facility name
Hanger Clinic
Provider ID
P000000001
NPI
1912244237
Tax ID
521486235
Effective Date
5/15/1997
Last Updated
5/11/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
22955 Raleigh Court
Clarksville, TN 37043
United States
Phone
931-906-0191
(
Phone
)
Billing Details
Address
P.O. box 650846
Dallas, TX 75265
Billing Phone
512-777-3800
Specialty Type
Orthotics/Prosthetics, Services
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