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Contract Details
Facility name
Norwood Clinic
Provider ID
P000007275
NPI
1104879741
Tax ID
630715625
Effective Date
8/1/1994
Last Updated
10/23/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2022 Brookwood Medical Center Drive Suite 510
Birmingham, AL 35209
United States
County
Jefferson
Phone
2052506846
(
Phone
)
Billing Details
Address
P.O. Box 830230
Birmingham, AL 35283
Billing Phone
2052506846
Specialty Type
Multi-Specialty Practice
Map
Address