Contract Details
Alabama Center for Prosthetics and Orthotics, Inc.
Facility name
Birmingham Limb & Brace
Provider ID
P000001949
NPI
1386720845
Tax ID
753040184
Effective Date
3/1/2006
Last Updated
6/6/2014
Direct Contract
Term Date
12/1/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3624 5th Avenue South
Birmingham, AL 35222
United States
County
Jefferson
Phone
2055950632 (Phone)
Billing Details
Address
3624 5th Avenue South
Birmingham, AL 35222
Billing Phone
Specialty Type
Orthotics/Prosthetics, Services
Map
Address