Michelle    Hansend    RPT
Contract Details
Alabama Orthopedic, Spine & Sports Medicine
Facility name
Provider ID
P000000001
NPI
1710670930
Tax ID
630954295
Effective Date
9/5/2024
Last Updated
9/19/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
118 Mars Hill Road
Birmingham, AL 35244
United States
Phone
205-228-7600 (Phone)
Billing Details
Address
118 Mars Hill Road
Birmingham, AL 35244
Billing Phone
205-228-7600
Specialty Type
Physical Therapy
Map
Address