Contract Details
Facility name
Alabama Orthopaedic Specialists
Provider ID
P000001955
NPI
1033267471
Tax ID
630791692
Effective Date
7/18/2007
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
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
P.O. Box 235003
Montgomery, AL 36123
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address