Contract Details
Facility name
Jackson Surgery Center
Provider ID
P000002219
NPI
1336375930
Tax ID
204173305
Effective Date
2/1/1998
Last Updated
6/24/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_076
Location Details
Address
1725 Park Place
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342938484 (Phone)
Billing Details
Address
1725 Park Place
Montgomery, AL 36106
Billing Phone
3342938484
Specialty Type
Ambulatory Surgical Facility
Map
Address