Contract Details
OrthoSports Associates
Facility name
OrthoSports Associates - Childersburg
Provider ID
P000009403
NPI
1235788373
Tax ID
275501752
Effective Date
8/1/2019
Last Updated
1/4/2023
Direct Contract
Yes
Term Date
12/12/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
34011 US 280
Childersburg, AL 35044
United States
County
Talladega
Phone
2058383090 (Phone)
Billing Details
Address
34011 US 280
Birmingham, AL 35044
Billing Phone
2059390447
Specialty Type
Surgery, Orthopedic
Map
Address