Contract Details
Facility name
Crosswalk Prosthetics, Inc.
Provider ID
P000003529
NPI
1437381456
Tax ID
270627194
Effective Date
6/20/2012
Last Updated
7/21/2021
Direct Contract
Yes
Term Date
7/14/2021
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
717 Highway 67 South Suite 10
Decatur, AL 35603
United States
County
Morgan
Phone
2563537175 (Phone)
Billing Details
Address
717 Highway 67 South
Suite 10
Decatur, AL 35603
Billing Phone
2563537175
Specialty Type
Orthotics/Prosthetics, Services
Map
Address