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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
W9 Attachment
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
)
Fax
205-435-6810
Billing Details
Address
P.O. Box 650846
Dallas, TX 75265
Billing Phone
512-777-3800
Specialty Type
Orthotics/Prosthetics, Services
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