Contract Details
Fast360, LLC
Facility name
North Alabama Bone & Joint Clinic
Provider ID
P000002277
NPI
1043397763
Tax ID
460926698
Effective Date
1/1/2017
Last Updated
9/15/2021
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_312
Location Details
Address
1751 Veterans Drive Suite 300
Florence, AL 35630
United States
County
Lauderdale
Phone
8666746728 (Phone)
Billing Details
Address
1751 Veterans Drive
Suite 300
Brentwood, TN 35630
Billing Phone
Specialty Type
Diagnostic Services
Map
Address