Contract Details
Facility name
Neurosurgical Associates
Provider ID
P000007566
Tax ID
630576431
Effective Date
9/22/1993
Last Updated
11/18/2016
Direct Contract
Yes
Term Date
11/18/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1446 Jones Dairy Road Suite 100
Jasper, AL 35501
United States
County
Walker
Phone
2059338981 (Phone)
Billing Details
Address
800 Saint Vincent's Drive
Suite 700
Birmingham, AL 35205
Billing Phone
Specialty Type
Surgery, Neurological
Map
Address