Contract Details
Ancillary Care Services
Facility name
AHC Medical Center
Provider ID
P000005725
NPI
1962715078
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
2801 Northwest 87th Avenue
Doral, FL 33172
United States
County
Miami-Dade
Phone
3055921242 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address