Contract Details
Facility name
Alabama Bone & Joint Clinic
Provider ID
P000001948
NPI
1780980540
Tax ID
274655689
Effective Date
3/1/1996
Last Updated
8/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 Cahaba Valley Parkway Suite 100
Pelham, AL 35124
United States
County
Shelby
Phone
2056213778 (Phone)
Billing Details
Address
120 Cahaba Valley Parkway
Suite 100
Pelham, AL 35124
Billing Phone
Specialty Type
Surgery, Orthopedic
Map
Address