Contract Details
Alabama Artificial Limb Company, Inc.
Facility name
Alabama Artificial Limb & Orthopedic Service, Inc.
Provider ID
P000001947
NPI
1942398078
Tax ID
630460791
Effective Date
8/2/2017
Last Updated
10/25/2017
Direct Contract
Yes
Term Date
10/24/2017
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_333
Location Details
Address
1223 East South Boulevard
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342840250 (Phone)
Billing Details
Address
102 Woodmont Blvd.
Suite 120
Nashville, TN 37205
Billing Phone
6158648790
Specialty Type
Orthotics/Prosthetics, Services
Map
Address