Contract Details
Facility name
Simmons Clinic
Provider ID
P000000001
NPI
1104832724
Tax ID
631107327
Effective Date
6/27/2023
Last Updated
7/7/2023
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
100 East Cahaba Avenue
Linden, AL 36748
United States
Phone
334-295-0170 (Phone)
Billing Details
Address
100 East Cahaba Avenue
Linden, AL 36748
Billing Phone
334-295-0170
Specialty Type
Family Practice
Website
Visit Website
Map
Address