Contract Details
Facility name
Hanger Prosthetics & Orthotics
Provider ID
P000000001
NPI
1619650249
Tax ID
521486235
Effective Date
7/25/2024
Last Updated
8/16/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
908 Highway 78 East
Jasper, AL 35501
United States
Phone
205-544-2384 (Phone)
Billing Details
Address
P.O. Box 650846
Dallas, TX 75265
Billing Phone
Specialty Type
Orthotics/Prosthetics, Services
Map
Address