Contract Details
University Orthopaedic Clinic, P.C.
Facility name
University Orthopaedic Clinic & Spine Center
Provider ID
P000002491
NPI
1467755405
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
241 Robert K. Wilson Drive
Carrollton, AL 35447
United States
County
Pickens
Phone
2053450192 (Phone)
Billing Details
Address
241 Robert K. Wilson Drive
Birmingham, AL 35447
Billing Phone
2053450192
Specialty Type
Surgery, Orthopedic
Map
Address