Contract Details
Facility name
OrthoSports Associates
Provider ID
P000000001
NPI
1114226438
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
11/11/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
5295 Preserve Parkway Suite 250
Birmingham, AL 35244
United States
Phone
205-781-1950 (Phone)
Billing Details
Address
5295 Preserve Parkway
Suite 250
Birmingham, AL 35244
Billing Phone
205-781-1950
Specialty Type
Surgery, Orthopedic
Map
Address