Contract Details
Facility name
Same Day Surgery Center - Montgomery
Provider ID
P000002392
Tax ID
630842361
Effective Date
2/1/2000
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2035 East South Boulevard
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342863180 (Phone)
Billing Details
Address
2035 East South Boulevard
Montgomery, AL 36116
Billing Phone
3342863180
Specialty Type
Ambulatory Surgical Facility
Map
Address