Contract Details
Facility name
OrthoSports Associates
Provider ID
P000000001
NPI
1194013045
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/4/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
975 9th Avenue Southwest Suite 300
Bessemer, AL 35022
United States
Phone
205-424-1160 (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