Contract Details
Infirmary Medical Clinics
Facility name
Northside Clinic
Provider ID
P000008233
Tax ID
631012832
Effective Date
10/30/1992
Last Updated
11/7/2022
Direct Contract
Yes
Term Date
10/6/2022
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
95 Shell Street
Saraland, AL 36571
United States
County
Mobile
Phone
2516754733 (Phone)
Billing Details
Address
95 Shell Street
Saraland, AL 36571
Billing Phone
2516754733
Specialty Type
Internal Medicine
Map
Address