Contract Details
Facility name
Family & Industrial Health Services, Inc.
Provider ID
P000007217
NPI
1710923198
Tax ID
731655276
Effective Date
12/15/2009
Last Updated
12/3/2018
Direct Contract
Yes
Term Date
12/2/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4725 Mobile Highway
Montgomery, AL 36108
United States
County
Montgomery
Phone
3342813665 (Phone)
Billing Details
Address
P.O. Box 241487
Montgomery, AL 36124
Billing Phone
3342813665
Specialty Type
General Practice
Map
Address