Contract Details
St. Vincent's Orthopedic Surgeons, LLC
Facility name
St. Vincent's Orthopedic Surgeons
Provider ID
P000009280
NPI
1053632307
Tax ID
813328981
Effective Date
12/13/2018
Last Updated
12/20/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2030 Lay Dam Road
Clanton, AL 35045
United States
County
Chilton
Phone
2052584464 (Phone)
Billing Details
Address
2030 Lay Dam Road
Clanton, AL 35045
Billing Phone
2052584464
Specialty Type
Surgery, Orthopedic
Map
Address