Contract Details
Facility name
Outpatient Services East
Provider ID
P000002315
NPI
1932298718
Tax ID
630888861
Effective Date
12/21/1992
Last Updated
6/17/2022
Direct Contract
Yes
Term Date
8/17/2011
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
52 Medical Park Drive East Suite 401
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383888 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 401
Birmingham, AL 35235
Billing Phone
2058383888
Specialty Type
Ambulatory Surgical Facility
Map
Address