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Contract Details
MedExpress Red Bay, LLC
Facility name
MedExpress Red Bay
Provider ID
P000009069
NPI
1013375237
Tax ID
464696647
Effective Date
2/8/2018
Last Updated
2/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
89.00
Location Details
Address
221 Hospital Road
Red Bay, AL 35582
United States
County
Franklin
Phone
2563568907
(
Phone
)
Billing Details
Address
P.O. Box 11407
Dept #5818
Birmingham, AL 35246
Billing Phone
2563864678
Specialty Type
Urgent Care Facility
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