Contract Details
Infirmary Medical Clinics
Facility name
IMC Diagnostic and Medical Clinic Bay Minette
Provider ID
P000008962
NPI
1841581824
Tax ID
631012832
Effective Date
10/30/1992
Last Updated
11/7/2022
Direct Contract
Yes
Term Date
10/6/2022
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1908 Hand Avenue
Bay Minette, AL 36507
United States
County
Baldwin
Phone
2514351200 (Phone)
Billing Details
Address
1908 Hand Avenue
Bay Minette, AL 36507
Billing Phone
2514351200
Specialty Type
Internal Medicine
Map
Address