Contract Details
Facility name
Surgical Associates of The Shoals
Provider ID
P000007383
NPI
1790879559
Tax ID
630962367
Effective Date
12/8/1994
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
203 Avalon Avenue Suite 290
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563861125 (Phone)
Billing Details
Address
203 Avalon Avenue
Suite 290
Muscle Shoals, AL 35661
Billing Phone
2563861125
Specialty Type
Surgery, General
Map
Address