Contract Details
Quality of Life Health Services
Facility name
Canterberry Family Practice
Provider ID
P000000001
NPI
1902856214
Tax ID
630727804
Effective Date
10/13/2023
Last Updated
10/25/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
502 N 27th Street
Gadsden, AL 35904
United States
Phone
256-546-0073 (Phone)
Billing Details
Address
502 N 27th Street
Gadsden, AL 35904
Billing Phone
256-546-0073
Specialty Type
Family Practice
Website
Visit Website
Map
Address