Contract Details
Facility name
MainStreet Family Urgent Care
Provider ID
P000000001
Tax ID
473524701
Effective Date
6/20/2016
Last Updated
5/27/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
1408 Tallahassee Hwy Suite Z
Bainbridge, GA 39819
United States
Phone
229-400-9033 (Phone)
Billing Details
Address
1408 Tallahassee Hwy
Suite Z
Bainbridge, GA 39819
Billing Phone
Specialty Type
Urgent Care Facility
Website
Map
Address