Contract Details
Quality of Life Health Services
Facility name
ProCare Colley Home Medical Center
Provider ID
P000000001
NPI
1023069416
Tax ID
630727804
Effective Date
10/13/2023
Last Updated
10/25/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
420 N 6th Street
Gadsden, AL 35901
United States
Phone
256-546-9907 (Phone)
Billing Details
Address
420 N 6th Street
Gadsden, AL 35901
Billing Phone
256-546-9907
Specialty Type
Multi-Specialty Practice
Website
Visit Website
Map
Address