Contract Details
Infirmary Medical Clinics
Facility name
IMC - Cardio Thoracic and Vascular Surgical Associates
Provider ID
P000000001
NPI
1841848553
Tax ID
842855485
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
1855 Springhill Avenue
Mobile, AL 36607
United States
Phone
251-471-3544 (Phone)
Billing Details
Address
1855 Springhill Avenue
Mobile, AL 36607
Billing Phone
251-471-3544
Specialty Type
Cardio Thoracic
Map
Address