Contract Details
Facility name
The Orthopaedic Center
Provider ID
P000002456
NPI
1205880291
Tax ID
631210156
Effective Date
8/1/1999
Last Updated
1/31/2024
Direct Contract
Yes
Term Date
12/31/2023
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_486
Location Details
Address
2330 Thornton Taylor Parkway Suite B
Fayetteville, TN 37334
United States
County
Lincoln
Phone
9314388168 (Phone)
Billing Details
Address
2330 Thornton Taylor Parkway
Suite B
Huntsville, AL 37334
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic
Map
Address