Contract Details
Neuromuscular Spine and Joint Center
Facility name
Neuromuscular Spine and Joint Center
Provider ID
P000008502
NPI
1568835445
Tax ID
475444464
Effective Date
9/8/2016
Last Updated
9/23/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
8205 University Blvd. Bldg 1, Suite 1B
Mobile, AL 36609
United States
County
Mobile
Phone
2516335155 (Phone)
Billing Details
Address
P.O. Box 17603
Belfast, ME 04915
Billing Phone
2516335155
Specialty Type
Physical Medicine & Rehabilitation
Map
Address