Contract Details
University of Alabama Health Services Foundation, P.C.
Facility name
Outpatient Surgery Suite at The Kirklin Clinic of UAB Hospital
Provider ID
P000002492
NPI
1124213376
Tax ID
630649108
Effective Date
1/1/2005
Last Updated
3/26/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_172
Location Details
Address
2000 6th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2058018000 (Phone)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
Specialty Type
Ambulatory Surgical Facility
Map
Address