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Contract Details
Facility name
Infirmary Health System
Provider ID
P000000001
NPI
1447303227
Tax ID
630891904
Effective Date
7/1/1995
Last Updated
4/20/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
28691 US-98
Daphne, AL 36532
United States
Phone
251-338-1150
(
Phone
)
Billing Details
Address
28691 US-98
Daphne, AL 36532
Billing Phone
251-928-2375
Specialty Type
Physical Therapy
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