Contract Details
F.C. of Alabama, Inc.
Facility name
Intrepid USA Healthcare Services
Provider ID
P000006681
NPI
1629051735
Tax ID
200086360
Effective Date
9/19/2012
Last Updated
9/27/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
3918 Montclair Road Suite 202
Birmingham, AL 35213
United States
County
Jefferson
Phone
205-978-9592 (Phone)
Billing Details
Address
3918 Montclair Road
Suite 202
Dallas, TX 35213
Billing Phone
205-978-9592
Specialty Type
Home Health
Map
Address