Contract Details
Medical Asset Group
Facility name
South DeKalb Family Medical
Provider ID
P000000001
NPI
1720595762
Tax ID
823581568
Effective Date
7/21/2020
Last Updated
4/19/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
15239 AL Highway 68
Crossville, AL 35962
United States
Phone
256-925-0012 (Phone)
Billing Details
Address
15239 AL Highway 68
Crossville, AL 35962
Billing Phone
256-925-0012
Specialty Type
Urgent Care Facility
Map
Address