Contract Details
Facility name
Alabama Orthopaedic Specialists
Provider ID
P000007124
NPI
1134303241
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
74238 Tallassee Highway
Wetumpka, AL 36092
United States
County
Elmore
Phone
3342749000 (Phone)
Billing Details
Address
P.O. Box 235003
Montgomery, AL 36123
Billing Phone
3342749000
Specialty Type
Surgery, Orthopedic
Map
Address