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
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
212 Hospital Drive Suite A
Fairhope, AL 36532
United States
Phone
251-279-1640 (Phone)
Billing Details
Address
212 Hospital Drive
Suite A
Fairhope, AL 36532
Billing Phone
251-279-1640
Specialty Type
Physical Therapy
Map
Address