Jason  T  Banks    MD
Contract Details
Huntsville Hospital Spine and Neuro Center
Facility name
Provider ID
P000002632
NPI
1275534539
Tax ID
812146883
Effective Date
5/8/2017
Last Updated
5/10/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive SW Floor 1
Huntsville, AL 35801
United States
County
Madison
Phone
2565331600 (Phone)
Billing Details
Address
201 Governors Drive SW
Floor 1
Huntsville, AL 35801
Billing Phone
2565331600
Specialty Type
Surgery, Neurological
Map
Address