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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