Contract Details
Dale Medical Center
Facility name
StatMed
Provider ID
P000009367
NPI
1497893408
Tax ID
636001875
Effective Date
12/23/2016
Last Updated
7/18/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
633 South Union Avenue
Ozark, AL 36360
United States
County
Dale
Phone
3347747572 (Phone)
Billing Details
Address
633 South Union Avenue
Ozark, AL 36360
Billing Phone
3347747572
Specialty Type
Family Practice
Map
Address