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Mark
Minton
PA-C
Contract Details
Compass Urgent Care
Facility name
Provider ID
P000000001
NPI
1376788521
Tax ID
471020046
Effective Date
2/8/2023
Last Updated
9/14/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
9985 Airport Blvd
Mobile, AL 36608
United States
Phone
251-633-2273
(
Phone
)
Billing Details
Address
9985 Airport Blvd
Salt Lake City, UT 36608
Billing Phone
815-713-2600
Specialty Type
Physician Assistant
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Address