Contract Details
Facility name
Alabama Orthopaedic Specialists
Provider ID
P000007122
NPI
1689858797
Tax ID
630791692
Effective Date
6/1/1994
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
461 East Main Street
Prattville, AL 36067
United States
County
Autauga
Phone
3342749000 (Phone)
Billing Details
Address
P.O. Box 235003
Montgomery, AL 36123
Billing Phone
3342749000
Specialty Type
Surgery, Orthopedic
Map
Address