Contract Details
Facility name
Valley Neurosurgery
Provider ID
P000002496
NPI
1437162633
Tax ID
202596785
Effective Date
7/1/2005
Last Updated
8/29/2014
Direct Contract
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
426 East Dr. Hicks Boulevard
Florence, AL 35630
United States
County
Lauderdale
Phone
2567647721 (Phone)
Billing Details
Address
426 East Dr. Hicks Boulevard
Florence, AL 35630
Billing Phone
Specialty Type
Surgery, Neurological
Map
Address