Jack  L  Zaremba    MD
Contract Details
Trinity Medical Clinics
Facility name
Provider ID
P000001923
NPI
1104918309
Tax ID
631059170
Effective Date
1/1/1996
Last Updated
6/3/2013
Direct Contract
Yes
Term Date
6/3/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5890 Valley Road Suite 200
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056557600 (Phone)
Billing Details
Address
Specialty Type
Internal Medicine
Map
Address