Contract Details
Facility name
Medical Asset Group
Provider ID
P000000001
NPI
1720595762
Tax ID
823581568
Effective Date
4/18/2023
Last Updated
4/19/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
15239 Alabama Highway 68 W
Crossville, AL 35962
United States
Phone
256-907-9000 (Phone)
Billing Details
Address
15239 Alabama Highway 68 W
Crossville, AL 35962
Billing Phone
256-907-9000
Specialty Type
Urgent Care Facility
Website
Visit Website
Map
Address