Contract Details
Comprehensive Pain Services of Alabama, LLC
Facility name
Comprehensive Pain Services of Alabama
Provider ID
P000009181
NPI
1831549971
Tax ID
621825612
Effective Date
6/6/2018
Last Updated
6/6/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
513 Brookwood Blvd. Building D, Suite 260
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058008766 (Phone)
Billing Details
Address
513 Brookwood Blvd.
Building D, Suite 260
Birmingham, AL 35209
Billing Phone
2058008766
Specialty Type
Pain Management Facility
Map
Address