Contract Details
Facility name
Alabama Artificial Limb & Orthopedic Service
Provider ID
P000000001
NPI
1992132864
Tax ID
630460791
Effective Date
10/25/2017
Last Updated
11/8/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1240 East Main Street
Dothan, AL 36301
United States
Phone
334-699-5462 (Phone)
Billing Details
Address
1240 East Main Street
Dothan, AL 36301
Billing Phone
334-699-5462
Specialty Type
Orthotics/Prosthetics, Services
Website
Visit Website
Map
Address