Contract Details
Facility name
The Orthopaedic Clinic, PC
Provider ID
P000002458
NPI
1497706220
Tax ID
721376223
Effective Date
7/15/1998
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
5/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
121 North 20th Street
Opelika, AL 36801
United States
County
Lee
Phone
3347498303 (Phone)
Billing Details
Address
P.O. Box 2125
Opelika, AL 36803
Billing Phone
3347498303
Specialty Type
Surgery, Orthopedic
Map
Address