Sonya    Praytor-Mink    CRNP
Contract Details
Urgent Care Northwest
Facility name
Provider ID
P000000001
NPI
1174574768
Tax ID
208911105
Effective Date
5/5/2020
Last Updated
5/6/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2708 Highway 78 East
Jasper, AL 35501
United States
Phone
205-387-2253 (Phone)
Billing Details
Address
2708 Highway 78 East
Jasper, AL 35501
Billing Phone
205-387-2253
Specialty Type
Urgent Care Facility
Website
Visit Website
Map
Address