Contract Details
Facility name
Alabama Orthopedic, Spine & Sports Medicine Associates
Provider ID
P000001957
NPI
1659344984
Tax ID
630954295
Effective Date
3/21/2005
Last Updated
7/8/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_094
Location Details
Address
1801 Gadsden Highway
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383900 (Phone)
Billing Details
Address
P.O. Box 830785
Drawer 415
Birmingham, AL 35283
Billing Phone
2058383900
Specialty Type
Diagnostic Services
Map
Address