Contract Details
Facility name
ABC Orthotics and Prosthetics
Provider ID
P000001933
NPI
1356347926
Tax ID
630637809
Effective Date
3/15/2006
Last Updated
10/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3616 7th Court South
Birmingham, AL 35222
United States
County
Jefferson
Phone
2053242461 (Phone)
Billing Details
Address
3616 7th Court South
Birmingham, AL 35222
Billing Phone
Specialty Type
Orthotics/Prosthetics, Services
Map
Address