Contract Details
Facility name
University Orthopaedic Clinic & Spine Center
Provider ID
P000000001
NPI
1760785703
Tax ID
630732734
Effective Date
5/4/2020
Last Updated
5/14/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_452
Location Details
Address
2702 Hospital Drive Suite 101
Northport, AL 35476
United States
Phone
205-345-0192 (Phone)
Billing Details
Address
2702 Hospital Drive
Suite 101
Northport, AL 35476
Billing Phone
205-345-0192
Specialty Type
Surgery, Orthopedic
Map
Address