Contract Details
Facility name
The Orthopaedic Clinic, PC
Provider ID
P000002460
NPI
1578610952
Tax ID
721376223
Effective Date
7/15/1998
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1800 Lakeside Circle
Auburn, AL 36830
United States
County
Lee
Phone
3345012290 (Phone)
Billing Details
Address
P.O. Box 2125
Opelika, AL 36803
Billing Phone
3347498303
Specialty Type
Surgery, Orthopedic
Map
Address