Contract Details
Go Medical Corporation, PC
Facility name
Go Medical Group
Provider ID
P000009396
NPI
1073027876
Tax ID
823282645
Effective Date
8/28/2019
Last Updated
3/7/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2692 US Highway 431
Boaz, AL 35957
United States
County
Marshall
Phone
256-558-6000 (Phone)
Billing Details
Address
2692 US Highway 431
Boaz, AL 35957
Billing Phone
256-558-6000
Specialty Type
Internal Medicine
Map
Address