Contract Details
Northeast Orthopedic Clinic, PC
Facility name
Northeast Orthopedics
Provider ID
P000002280
NPI
1699785790
Tax ID
631081989
Effective Date
5/3/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
880 Highway 431 North
Boaz, AL 35957
United States
County
Marshall
Phone
2562811900 (Phone)
Billing Details
Address
507 South 4th Street
Gadsden, AL 35901
Billing Phone
2565477417
Specialty Type
Physical Therapy
Map
Address