Contract Details
Facility name
OrthoSports Associates - Trussville
Provider ID
P000000001
NPI
1902389232
Tax ID
275501732
Effective Date
12/13/2022
Last Updated
1/5/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
P.O. Box 11407
Department 2004
Birmingham, AL 35246
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address