Cecilia    Robinson    NP
Contract Details
Affinity Orthopedic Specialists
Facility name
Provider ID
P000000001
NPI
1487600607
Tax ID
271826294
Effective Date
4/18/2019
Last Updated
4/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
169 North 2nd Avenue
Hartford, AL 36344
United States
Phone
334-348-8818 (Phone)
Billing Details
Address
P.O. Box 24568
Belfast, ME 04915
Billing Phone
877-848-1457
Specialty Type
Surgery, Orthopedic
Map
Address