Contract Details
Southeast Alabama Medical Center Clinics
Facility name
First Med of Elba
Provider ID
P000007449
NPI
1124376686
Tax ID
636004476
Effective Date
7/1/1995
Last Updated
9/9/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
252 Larkin Road
Elba, AL 36323
United States
County
Coffee
Phone
3348972207 (Phone)
Billing Details
Address
252 Larkin Road
Elba, AL 36323
Billing Phone
3348972207
Specialty Type
Family Practice
Map
Address