Contract Details
Facility name
Dove Family Health
Provider ID
P000000001
NPI
1982280269
Tax ID
822400503
Effective Date
10/27/2022
Last Updated
10/28/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
103 Church Avenue NW
Rainsville, AL 35986
United States
Phone
256-638-3766 (Phone)
Billing Details
Address
103 Church Avenue NW
Rainsville, AL 35986
Billing Phone
256-638-3766
Specialty Type
Family Practice
Website
Visit Website
Map
Address