Contract Details
Southeastern Pain & Rehabilitation Physicians, P.C.
Facility name
The SpineCare Center
Provider ID
P000002416
NPI
1467446237
Tax ID
631215316
Effective Date
7/1/1999
Last Updated
8/26/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1050 Ruby Tyler Parkway
Tuscaloosa, AL 35404
United States
County
Tuscaloosa
Phone
2057597246 (Phone)
Billing Details
Address
1050 Ruby Tyler Parkway
Tuscaloosa, AL 35404
Billing Phone
2057597246
Specialty Type
Pain Management Facility
Map
Address