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Contract Details
Facility name
North Alabama Bone & Joint Clinic
Provider ID
P000002277
NPI
1043397763
Tax ID
630740487
Effective Date
7/9/2001
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
7/10/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2129 Helton Drive
Florence, AL 35630
United States
County
Lauderdale
Phone
2567183200
(
Phone
)
Billing Details
Address
2129 Helton Drive
Florence, AL 35630
Billing Phone
2567183200
Specialty Type
Surgery, Orthopedic
Map
Address