Contract Details
Rural Urgent Care, LLC
Facility name
MainStreet Family Urgent Care Pelham
Provider ID
P000008972
NPI
1184146177
Tax ID
473524701
Effective Date
10/1/2017
Last Updated
10/9/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
300 Big Mountain Road
Pelham, AL 35124
United States
County
Shelby
Phone
2056448289 (Phone)
Billing Details
Address
P.O. Box 830525
Dept SF 38
Birmingham, AL 35283
Billing Phone
Specialty Type
Urgent Care Facility
Map
Address