Contract Details
MedCenter Demopolis, PC
Facility name
MedCenter Demopolis
Provider ID
P000009011
NPI
1184913030
Tax ID
273109283
Effective Date
11/14/2017
Last Updated
11/16/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
705 US-80
Demopolis, AL 36732
United States
County
Marengo
Phone
3342890225 (Phone)
Billing Details
Address
705 US-80
Demopolis, AL 36732
Billing Phone
3342890225
Specialty Type
Urgent Care Facility
Map
Address