Roger    Alvarado    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000008622
NPI
1265430243
Tax ID
631012832
Effective Date
10/7/2022
Last Updated
10/31/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1720 Springhill Avenue
Mobile, AL 36604
United States
County
Mobile
Phone
2514351200 (Phone)
Billing Details
Address
1720 Springhill Avenue
Mobile, AL 36604
Billing Phone
2514351200
Specialty Type
Internal Medicine
Map
Address