Contract Details
Facility name
Obelisk Healthcare, LLC
Provider ID
P000007299
NPI
1841472529
Tax ID
134277516
Effective Date
11/15/2005
Last Updated
2/3/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4705 Woodmere Boulevard
Montgomery, AL 36106
United States
County
Montgomery
Phone
3345580262 (Phone)
Billing Details
Address
4705 Woodmere Boulevard
Montgomery, AL 36106
Billing Phone
3345580262
Specialty Type
Urgent Care Facility
Map
Address