Contract Details
Facility name
Wellbein Orthopedic Express
Provider ID
P000000001
NPI
1477243764
Tax ID
834454688
Effective Date
5/16/2023
Last Updated
5/19/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2104 Rocky Ridge Road
Hoover, AL 35216
United States
Phone
205-597-8647 (Phone)
Billing Details
Address
2104 Rocky Ridge Road
Hoover, AL 35216
Billing Phone
205-597-8647
Specialty Type
Surgery, Orthopedic
Map
Address