Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Contract Details
Andalusia Family Walk - In Clinic
Facility name
Andalusia Physician Practices, LLC
Provider ID
P000009272
NPI
1972870335
Tax ID
208016585
Effective Date
12/5/2018
Last Updated
12/19/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
301 Medical Avenue Suite A
Andalusia, AL 36420
United States
County
Covington
Phone
3344282273
(
Phone
)
Billing Details
Address
P.O. Box 1720
Andalusia, AL 36420
Billing Phone
3344282273
Specialty Type
Urgent Care Facility
Map
Address