Contract Details
Facility name
Saraland Family Practice
Provider ID
P000000001
NPI
1477664779
Tax ID
161620270
Effective Date
8/10/2020
Last Updated
8/14/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
119 Ennis Street
Saraland, AL 36571
United States
Phone
251-544-2000 (Phone)
Billing Details
Address
119 Ennis Street
Saraland, AL 36571
Billing Phone
251-544-2000
Specialty Type
Family Practice
Map
Address