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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
Exhibit Attachment
Location Details
Address
8415 Wann Drive
Madison, AL 35758
United States
County
Madison
Phone
2567041210
(
Phone
)
Billing Details
Address
8415 Wann Drive
Huntsville, AL 35758
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic
Map
Address