Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Contract Details
Dale Medical Center
Facility name
StatMed
Provider ID
P000009367
NPI
1497893408
Tax ID
636001875
Effective Date
12/23/2016
Last Updated
3/22/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1519 Andrews Avenue
Ozark, AL 36360
United States
County
Dale
Phone
334-774-7610
(
Phone
)
Billing Details
Address
1519 Andrews Avenue
Ozark, AL 36360
Billing Phone
334-774-7610
Specialty Type
Family Practice
Map
Address