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Contract Details
American Family Care--Opelika-Tiger Town
Facility name
Provider ID
P000007816
NPI
1841458874
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
4/24/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2544 Enterprise Drive
Opelika, AL 36801
United States
County
Lee
Phone
3345289050 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address