Donna    Beck    CRNP
Contract Details
Immediate Care Foley, LLC
Facility name
Provider ID
P000008582
NPI
1861785693
Tax ID
461522565
Effective Date
2/20/2017
Last Updated
2/20/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1265 S. McKenzie St.
Foley, AL 36535
United States
County
Baldwin
Phone
2519234633 (Phone)
Billing Details
Address
P.O. Box 91747
Mobile, AL 36691
Billing Phone
2519234633
Specialty Type
Family Practice
Map
Address