Contract Details
Facility name
Premier Health Center
Provider ID
P000000001
NPI
1023226446
Tax ID
208863326
Effective Date
3/19/2021
Last Updated
3/29/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2165 Highway 78 Suite 100
Dora, AL 35062
United States
Phone
205-648-4567 (Phone)
Billing Details
Address
2165 Highway 78
Suite 100
Dora, AL 35062
Billing Phone
205-648-4567
Specialty Type
Family Practice
Map
Address