Contract Details
Facility name
Perry Medical Clinic
Provider ID
P000000001
NPI
1982789251
Tax ID
630853465
Effective Date
3/11/2021
Last Updated
3/19/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
401 Northwood Drive
Centre, AL 35960
United States
Phone
256-927-3607 (Phone)
Billing Details
Address
407 Northwood Drive
Centre, AL 35960
Billing Phone
256-927-3607
Specialty Type
Family Practice
Website
Visit Website
Map
Address