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
1/15/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1622 Church Street
Jacksonville, AL 36265
United States
Phone
256-435-6221 (Phone)
Billing Details
Address
1622 Church Street
Jacksonville, AL 36265
Billing Phone
256-435-6221
Specialty Type
Surgery, Orthopedic