Contract Details
Facility name
Palmer Orthopaedics & Sports Medicine
Provider ID
P000002322
NPI
1467657957
Tax ID
204370983
Effective Date
4/15/2006
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
6/9/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
315 Medical Center Drive Southwest
Fort Payne, AL 35968
United States
County
De Kalb
Phone
2569979777 (Phone)
Billing Details
Address
200 Beacon Parkway West
Suite 330
Birmingham, AL 35209
Billing Phone
2569979777
Specialty Type
Surgery, Orthopedic
Map
Address