Contract Details
Facility name
Hoover Family Medicine
Provider ID
P000007415
NPI
1841475233
Tax ID
631245880
Effective Date
7/1/2013
Last Updated
11/19/2021
Direct Contract
Yes
Term Date
11/18/2021
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
3081 Lorna Road Suite 101
Birmingham, AL 35216
United States
County
Jefferson
Phone
2059793381 (Phone)
Billing Details
Address
3081 Lorna Road
Suite 101
Birmingham, AL 35216
Billing Phone
2059793381
Specialty Type
Family Practice
Map
Address