Contract Details
Facility name
Piedmont Family Practice
Provider ID
P000000001
NPI
1700943602
Tax ID
630918401
Effective Date
8/11/2020
Last Updated
8/14/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
800 Memorial Drive
Piedmont, AL 36272
United States
Phone
256-447-9045 (Phone)
Billing Details
Address
P.O. Box 450
Piedmont, AL 36272
Billing Phone
256-447-9045
Specialty Type
Urgent Care Facility
Map
Address