Contract Details
University Orthopaedic Clinic, P.C.
Facility name
University Orthopaedic Clinic & Spine Center
Provider ID
P000002488
NPI
1760785703
Tax ID
630732734
Effective Date
10/1/1997
Last Updated
5/14/2020
Direct Contract
Yes
Term Date
5/3/2020
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2702 Hospital Drive Suite 101
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053450192 (Phone)
Billing Details
Address
2702 Hospital Drive
Suite 101
Birmingham, AL 35476
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic
Map
Address