Contract Details
Rural Urgent Care
Facility name
MainStreet Family Urgent Care
Provider ID
P000008959
Tax ID
473524701
Effective Date
10/1/2017
Last Updated
10/4/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
508 East 3 Notch Street
Andalusia, AL 36420
United States
County
Covington
Phone
3344272273 (Phone)
Billing Details
Address
P.O. Box 830525
Dept SF 38
Birmingham, AL 35283
Billing Phone
2055455090
Specialty Type
Urgent Care Facility
Map
Address