Contract Details
One Call Care Management
Facility name
Decatur Orthopaedic Clinic
Provider ID
P000007919
NPI
1740331347
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
1103 16th Avenue Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
2563500362 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address