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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
6/24/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
401 Northwood Drive
Centre, AL 35960
United States
County
Cherokee
Phone
2569275733
(
Phone
)
Billing Details
Address
401 Northwood Drive
Gadsden, AL 35960
Billing Phone
2565477417
Specialty Type
Surgery, Orthopedic
Workers Comp Coordinator
Carla
West
cwest@neoclinic.us
Map
Address