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Contract Details
American Family Care, Inc.
Facility name
American Family Care
Provider ID
P000007515
NPI
1528404613
Tax ID
630825248
Effective Date
9/3/2013
Last Updated
4/24/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2445 Murphy Mill Road
Dothan, AL 36303
United States
County
Houston
Phone
3346776001
(
Phone
)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Urgent Care Facility
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Address