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Contract Details
Facility name
American Family Care
Provider ID
P000000001
NPI
1679586648
Tax ID
630825248
Effective Date
1/1/2020
Last Updated
7/13/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
535 Schillinger Road South
Mobile, AL 36695
United States
Phone
251-544-6611
(
Phone
)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
205-403-8902
Specialty Type
Urgent Care Facility
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Address