Contract Details
Infirmary Medical Clinics
Facility name
IMC Diagnostic and Medical Clinic
Provider ID
P000000001
NPI
1447201066
Tax ID
631012832
Effective Date
10/7/2022
Last Updated
11/7/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
33650 Highway 43 Suite 300
Thomasville, AL 36784
United States
Phone
251-435-1200 (Phone)
Billing Details
Address
33650 Highway 43
Suite 300
Thomasville, AL 36784
Billing Phone
251-435-1200
Specialty Type
Internal Medicine
Website
Visit Website
Map
Address