Gordon    Spafford    MD
Contract Details
Infirmary Health Urgent Care--Bay Minette
Facility name
Provider ID
P000001650
NPI
1326096173
Tax ID
454467626
Effective Date
10/7/2022
Last Updated
11/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
108-C McMeans Avenue
Bay Minette, AL 36507
United States
County
Baldwin
Phone
2519377100 (Phone)
Billing Details
Address
108-C McMeans Avenue
Bay Minette, AL 36507
Billing Phone
2519377100
Specialty Type
Emergency Medicine
Map
Address