Peter    Rippey    MD
Contract Details
USA Healthcare Authority
Facility name
Provider ID
P000000001
NPI
1477715712
Tax ID
821388539
Effective Date
4/16/2024
Last Updated
5/7/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4300 Old Shell Road
Mobile, AL 36608
United States
Phone
251-634-4589 (Phone)
Billing Details
Address
4300 Old Shell Road
Mobile, AL 36608
Billing Phone
251-634-4589
Specialty Type
Family Practice
Map
Address