Contract Details
Infirmary Medical Clinics
Facility name
Family Medical of Mobile
Provider ID
P000000001
NPI
1952438160
Tax ID
630942734
Effective Date
10/7/2022
Last Updated
11/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5320 Highway 90 Service Road
Mobile, AL 36619
United States
Phone
251-666-8232 (Phone)
Billing Details
Address
5320 Highway 90 Service Road
Mobile, AL 36619
Billing Phone
251-666-8232
Specialty Type
Family Practice
Website
Visit Website
Map
Address