Contract Details
Previously Alabama Orthopedic Specialists
Facility name
Hughston Clinic
Provider ID
P000000001
NPI
1992440457
Tax ID
581155460
Effective Date
6/1/2022
Last Updated
6/8/2022
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
F
State Fee Schedule Multiplier
92.00
Location Details
Address
4294 Lomac Street
Montgomery, AL 36106
United States
Phone
334-274-9000 (Phone)
Billing Details
Address
4294 Lomac Street
Montgomery, AL 36106
Billing Phone
334-274-9000
Specialty Type
Diagnostic Services
Map
Address