Contract Details
OrthoSports Associates
Facility name
OrthoSports Associates - Gardendale
Provider ID
P000003468
NPI
1033555206
Tax ID
275501752
Effective Date
5/16/2012
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
2217 Decatur Highway
Gardendale, AL 35071
United States
County
Jefferson
Phone
2054181260 (Phone)
Billing Details
Address
2217 Decatur Highway
Birmingham, AL 35071
Billing Phone
2059390447
Specialty Type
Sports Medicine
Map
Address