Contract Details
Facility name
MedPlex Outpatient Surgery Center
Provider ID
P000002254
NPI
1750499950
Tax ID
760353620
Effective Date
4/24/2002
Last Updated
6/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_092
Location Details
Address
4511 Southlake Parkway
Birmingham, AL 35244
United States
County
Jefferson
Phone
2059854398 (Phone)
Billing Details
Address
4511 Southlake Parkway
Birmingham, AL 35244
Billing Phone
2059854398
Specialty Type
Ambulatory Surgical Facility
Map
Address