Contract Details
Facility name
BioTech Limb and Brace
Provider ID
P000002016
NPI
1093715849
Tax ID
631250030
Effective Date
4/1/2009
Last Updated
5/22/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2421 4th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2053247897 (Phone)
Billing Details
Address
2421 4th Avenue South
Birmingham, AL 35233
Billing Phone
2053247897
Specialty Type
Orthotics/Prosthetics, Services
Map
Address