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Contract Details
Capstone Rural Health Center
Facility name
Capstone Parrish
Provider ID
P000000001
NPI
1821043837
Tax ID
631276483
Effective Date
4/22/2020
Last Updated
4/28/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
5947 Highway 269
Parrish, AL 35580
United States
Phone
205-686-5113
(
Phone
)
Billing Details
Address
5947 Highway 269
Parrish, AL 35580
Billing Phone
205-686-5113
Specialty Type
Urgent Care Facility
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Address