Contract Details
American Family Care, Inc.
Facility name
American Family Care
Provider ID
P000001979
NPI
1275549685
Tax ID
272900993
Effective Date
7/27/2018
Last Updated
9/5/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1763 Madison Street
Clarksville, TN 37043
United States
County
Montgomery
Phone
9312788000 (Phone)
Billing Details
Address
1763 Madison Street
Clarksville, TN 37043
Billing Phone
9312788000
Specialty Type
Urgent Care Facility
Map
Address