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Contract Details
Capstone Rural Health Center
Facility name
Capstone Cottage
Provider ID
P000000001
Tax ID
631276483
Effective Date
4/22/2020
Last Updated
4/27/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
714 12th Street W
Jasper, AL 35501
United States
Phone
205-724-9001
(
Phone
)
Billing Details
Address
714 12th Street W
Jasper, AL 35501
Billing Phone
205-724-9001
Specialty Type
Urgent Care Facility
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Address