Contract Details
Facility name
Physicians' Pain Specialists of Alabama, P.C.
Provider ID
P000002608
Tax ID
631189336
Effective Date
9/1/2003
Last Updated
2/16/2016
Direct Contract
Yes
Term Date
5/20/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.50
Location Details
Address
2001 Springhill Avenue
Mobile, AL 36607
United States
County
Mobile
Phone
2515804580 (Phone)
Billing Details
Address
Specialty Type
Pain Management Facility
Map
Address