Contract Details
Temporarily Not Taking WC 11/1/2022
Facility name
Northside Medical Associates - Complete Health
Provider ID
P000008025
NPI
1831103837
Tax ID
631261201
Effective Date
9/1/2014
Last Updated
11/1/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
70 Plaza Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2058149284 (Phone)
Billing Details
Address
70 Plaza Drive
Pell City, AL 35125
Billing Phone
2058149284
Specialty Type
Family Practice
Map
Address