Contract Details
Medical Center Barbour
Facility name
MCB Family Care Clinic
Provider ID
P000000001
NPI
1134632045
Tax ID
208104245
Effective Date
12/1/2001
Last Updated
11/22/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_033
Location Details
Address
512 Main Street
Hurtsboro, AL 36860
United States
Phone
334-688-7410 (Phone)
Billing Details
Address
512 Main Street
Hurtsboro, AL 36860
Billing Phone
Specialty Type
Family Practice
Website
Map
Address