Contract Details
Facility name
Ambulatory Anesthesia Associates of Montgomery
Provider ID
P000001968
NPI
1639130537
Tax ID
631194729
Effective Date
11/15/2002
Last Updated
1/4/2016
Direct Contract
Yes
Term Date
1/1/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
470 Taylor Road
Montgomery, AL 36117
United States
County
Montgomery
Phone
3343862055 (Phone)
Billing Details
Address
470 Taylor Road
Montgomery, AL 36117
Billing Phone
3343862055
Specialty Type
Anesthesiology
Map
Address