Contract Details
Facility name
The Orthopaedic Center
Provider ID
P000002456
NPI
1205880291
Tax ID
631210156
Effective Date
8/1/1999
Last Updated
7/24/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2330 Thornton Taylor Parkway Suite B
Fayetteville, TN 37334
United States
County
Lincoln
Phone
9314388168 (Phone)
Billing Details
Address
927 Franklin Street Southeast
Huntsville, AL 35801
Billing Phone
Specialty Type
Surgery, Orthopedic
Map
Address