Contract Details
Industrial Medical Clinics
Facility name
Infirmary Occupational Health
Provider ID
P000008259
NPI
1720133184
Tax ID
631056697
Effective Date
10/30/1992
Last Updated
10/28/2022
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
27961 US Hwy 98 Suite 25
Daphne, AL 36526
United States
County
Baldwin
Phone
251-625-8222 (Phone)
Billing Details
Address
27961 US Hwy 98
Suite 25
Daphne, AL 36526
Billing Phone
251-625-8222
Specialty Type
Occupational Medicine Facility
Map
Address