Richard  J  Valentine    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000000001
NPI
1063411171
Tax ID
631012832
Effective Date
10/7/2022
Last Updated
11/8/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
95 Shell Street
Saraland, AL 36571
United States
Phone
251-675-4733 (Phone)
Billing Details
Address
95 Shell Street
Saraland, AL 36571
Billing Phone
251-675-4733
Specialty Type
Family Practice
Website
Visit Website
Map
Address