Name: Northeast Orthopedic Clinic, PC
Address: 1906 Glenn Blvd SW Suite 1200, Fort Payne, 35968, United States
Telephone: 256-364-8303

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

State Fee Schedule Multiplier

80.00

Location Details

Address

1906 Glenn Blvd SW Suite 1200

Fort Payne, AL 35968

United States

Phone

256-364-8303 (Phone)

Fax

Billing Details

Address

1906 Glenn Blvd SW

Suite 1200

Fort Payne, AL 35968

Specialty Type

Surgery, Orthopedic

Workers Comp Coordinator

Carla

West

256-456-0543

cwest@neoclinic.us

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