Contract Details
RMCCA Clinic A, LLC
Facility name
Regional Medical Center Clinic
Provider ID
P000000001
NPI
1477979672
Tax ID
822999869
Effective Date
4/29/2020
Last Updated
5/7/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
300 N College Street
Greenville, AL 36037
United States
Phone
334-382-2681 (Phone)
Billing Details
Address
300 N College Street
Greenville, AL 36037
Billing Phone
334-382-2681
Specialty Type
Family Practice
Map
Address