Contract Details
Facility name
Alabama Orthopaedic Specialists
Provider ID
P000001955
NPI
1033267471
Tax ID
630791692
Effective Date
9/1/2007
Last Updated
6/8/2022
Direct Contract
Yes
Term Date
5/31/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4294 Lomac Street
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342749000 (Phone)
Billing Details
Address
4294 Lomac Street
Montgomery, AL 36106
Billing Phone
3342749000
Specialty Type
Orthotics/Prosthetics, Services
Map
Address