Contract Details
Facility name
Central Alabama Spine Center
Provider ID
P000002036
NPI
1649407446
Tax ID
270312340
Effective Date
2/1/2004
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
4/22/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
52 Medical Park East Drive Suite 219
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056552277 (Phone)
Billing Details
Address
P.O. Box 1198
Trussville, AL 35173
Billing Phone
2056552277
Specialty Type
Physical Therapy
Map
Address