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Contract Details
Facility name
Careplus Family Medical
Provider ID
P000000001
NPI
1639503055
Tax ID
814664037
Effective Date
4/18/2023
Last Updated
10/31/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3000 Gault Avenue
Fort Payne, AL 35967
United States
Phone
256-697-1012
(
Phone
)
Fax
256-273-7072
Billing Details
Address
3000 Gault Avenue
Fort Payne, AL 35967
Billing Phone
256-697-1012
Specialty Type
Urgent Care Facility
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