Contract Details
Facility name
OrthoSports Associates, LLC
Provider ID
P000000001
NPI
1114226438
Tax ID
275501752
Effective Date
10/3/2022
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
5850 Valley Road Suite 110
Birmingham, AL 35235
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
5850 Valley Road
Suite 110
Birmingham, AL 35235
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address