Contract Details
OrthoSports Associates
Facility name
OrthoSports Associates 119
Provider ID
P000008934
NPI
1265803290
Tax ID
275501752
Effective Date
5/16/2012
Last Updated
1/5/2023
Direct Contract
Yes
Term Date
12/12/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7191 Cahaba Valley Road Suite 100B
Birmingham, AL 35242
United States
County
Shelby
Phone
2059390447 (Phone)
Billing Details
Address
7191 Cahaba Valley Road
Suite 100B
Birmingham, AL 35242
Billing Phone
2059390447
Specialty Type
Surgery, Orthopedic
Map
Address