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Contract Details
IMC-Gulf Orthopaedics, LLC
Facility name
Gulf Orthopaedics
Provider ID
P000000001
Tax ID
863726194
Effective Date
8/4/2021
Last Updated
11/16/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1702 Springhill Avenue 3rd Floor
Mobile, AL 36604
United States
Phone
251-435-2663
(
Phone
)
Fax
251-435-6362
Billing Details
Address
1702 Springhill Avenue
3rd Floor
Mobile, AL 36604
Billing Phone
251-435-2663
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Workers Comp Coordinator
Amber
Sarver
251-435-2663
comp@gulfortho.com
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