Contract Details
Facility name
Capstone Double Springs
Provider ID
P000000001
NPI
1508405069
Tax ID
631276483
Effective Date
4/22/2020
Last Updated
4/28/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
110 Legion Road Suite B
Double Springs, AL 35553
United States
Phone
256-847-4858 (Phone)
Billing Details
Address
110 Legion Road
Suite B
Double Springs, AL 35553
Billing Phone
256-847-4858
Specialty Type
Family Practice
Map
Address