Contract Details
University of Alabama Health Services Foundation, P.C.
Facility name
UAB Medicine Hueytown
Provider ID
P000002624
Tax ID
630649108
Effective Date
4/1/1996
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
3/21/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3029 Allison Bonnett Memorial Drive
Hueytown, AL 35023
United States
County
Jefferson
Phone
2054974083 (Phone)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
2059349999
Specialty Type
General Practice
Map
Address