Contract Details
University of Alabama Health Services Foundation, P.C.
Facility name
The Kirklin Clinic
Provider ID
P000002455
Tax ID
630649108
Effective Date
1/1/2005
Last Updated
10/23/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
The Kirklin Clinic at Acton Road 2145 Bonner Way
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059780250 (Phone)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
2059349999
Specialty Type
Multi-Specialty Practice
Map
Address