Contract Details
Facility name
Northeast Orthopedic Clinic, PC
Provider ID
P000000001
NPI
1699785790
Tax ID
631081989
Effective Date
10/15/1999
Last Updated
6/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
524 West Grand Avenue
Rainbow City, AL 35957
United States
Phone
256-467-8566 (Phone)
Billing Details
Address
524 West Grand Avenue
Rainbow City, AL 35957
Billing Phone
256-467-8566
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Workers Comp Coordinator
Carla
West
cwest@neoclinic.us
Map
Address