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Contract Details
University Orthopaedic Clinic, P.C.
Facility name
University Orthopaedic Clinic & Spine Center
Provider ID
P000002490
NPI
1841593886
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
400 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053450192
(
Phone
)
Billing Details
Address
400 Paul W. Bryant Drive East
Birmingham, AL 35401
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic
Map
Address