Contract Details
Facility name
Northwest Alabama Surgical Specialists, P.C.
Provider ID
P000007284
Tax ID
272844064
Effective Date
8/15/2010
Last Updated
1/7/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
15225 Highway 43
Russellville, AL 35654
United States
County
Franklin
Phone
2563321500 (Phone)
Billing Details
Address
P.O. Box 1046
Haleyville, AL 35565
Billing Phone
Specialty Type
Surgery, General
Map
Address