Contract Details
Facility name
Alabama Bone & Joint Clinic
Provider ID
P000001948
NPI
1780980540
Tax ID
274655689
Effective Date
5/1/2005
Last Updated
8/19/2014
Direct Contract
Yes
Term Date
3/13/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
205 Medical Office Park
Talladega, AL 35160
United States
County
Talladega
Phone
2563621009 (Phone)
Billing Details
Address
120 Cahaba Valley Parkway
Suite 100
Pelham, AL 35124
Billing Phone
2056213778
Specialty Type
Surgery, Orthopedic
Map
Address