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Jennifer
Grimmett
NP
Contract Details
Unicare Plus Urgent Care
Facility name
Provider ID
P000000001
NPI
1629414198
Tax ID
882059008
Effective Date
2/28/2023
Last Updated
3/2/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2228 Village Drive
Moody, AL 35004
United States
Phone
659-223-4010
(
Phone
)
Billing Details
Address
2228 Village Drive
Moody, AL 35004
Billing Phone
659-223-4010
Specialty Type
Nurse Practitioner
Website
Visit Website
Workers Comp Coordinator
Bridget
Byars
659-223-4010
bbyars@unicareplusurgentcare.com
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