Contract Details
Facility name
Ascension Medical Group
Provider ID
P000000001
Tax ID
274758285
Effective Date
6/13/2023
Last Updated
6/26/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2660 10th Avenue South Suite 222
Birmingham, AL 35205
United States
Phone
205-930-2675 (Phone)
Billing Details
Address
2660 10th Avenue South
Birmingham, AL 35205
Billing Phone
205-930-2675
Specialty Type
Multi-Specialty Practice
Website
Visit Website
Map
Address