Contract Details
University Orthopaedic Clinic, P.C.
Facility name
University Orthopaedic Clinic & Spine Center
Provider ID
P000002487
NPI
1740583780
Tax ID
630732734
Effective Date
10/1/1997
Last Updated
5/14/2020
Direct Contract
Yes
Term Date
5/3/2020
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1732 Temple Avenue North
Fayette, AL 35555
United States
County
Fayette
Phone
2053450192 (Phone)
Billing Details
Address
1732 Temple Avenue North
Birmingham, AL 35555
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic
Map
Address