Contract Details
Coastal Neurological Institute
Facility name
Coastal Neurological Institute
Provider ID
P000002055
NPI
1740212174
Tax ID
630782200
Effective Date
6/26/2014
Last Updated
2/7/2019
Direct Contract
Yes
Term Date
2/5/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1703 Bunner Street
Foley, AL 36535
United States
County
Baldwin
Phone
2516260732 (Phone)
Billing Details
Address
1703 Bunner Street
Foley, AL 36535
Billing Phone
2516260732
Specialty Type
Neurology
Map
Address