Contract Details
Facility name
Alabama Orthopaedic & Spine Center of Tuscaloosa
Provider ID
P000002505
NPI
1760420384
Tax ID
630968547
Effective Date
2/1/1998
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
4/2/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1325 McFarland Boulevard Suite 102
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053338800 (Phone)
Billing Details
Address
P.O. Box 840
Northport, AL 35476
Specialty Type
Surgery, Orthopedic
Map
Address