Contract Details
Alabama Artificial Limb Company, Inc.
Facility name
Alabama Artificial Limb & Orthopedic Service, Inc.
Provider ID
P000001947
NPI
1942398078
Tax ID
630460791
Effective Date
3/1/2007
Last Updated
1/9/2017
Direct Contract
Yes
Term Date
11/30/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1223 East South Boulevard
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342840250 (Phone)
Billing Details
Address
1223 East South Boulevard
Montgomery, AL 36116
Billing Phone
3342840250
Specialty Type
Orthotics/Prosthetics, Services
Map
Address