Luigi  P  Frugone    MD
Contract Details
BHC Talladega Internal Medicine
Facility name
Provider ID
P000000583
NPI
1053379990
Tax ID
320164561
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Term Date
9/11/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
101 Stephen J. White Memorial Boulevard
Talladega, AL 35160
United States
County
Talladega
Phone
2563152252 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2563152252
Specialty Type
Internal Medicine
Map
Address