Contract Details
The Orthopedic Centers
Facility name
Sparks Orthopedics & Sports Medicine
Provider ID
631215126
NPI
1043262124
Tax ID
631215126
Effective Date
1/9/2020
Last Updated
12/10/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
United States
Phone
256-546-8127 (Phone)
Billing Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
Billing Phone
256-546-8127
Specialty Type
Surgery, Orthopedic