Contract Details
Facility name
Central Alabama Urgent Care
Provider ID
P000000001
NPI
1275919185
Tax ID
472388957
Effective Date
5/26/2020
Last Updated
3/18/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2391 Highway 78
Dora, AL 35062
United States
Phone
417-861-9739 (Phone)
Billing Details
Address
27 Midway Plaza
Suite B
Dora, AL 35062
Billing Phone
417-861-9739
Specialty Type
Occupational Medicine
Map
Address