Contract Details
Quality of Life Health Services
Facility name
Talladega Quality Health Care
Provider ID
P000000001
NPI
1740230945
Tax ID
630727804
Effective Date
10/13/2023
Last Updated
10/25/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
110 Spring Street N
Talladega, AL 35160
United States
Phone
256-315-1697 (Phone)
Billing Details
Address
110 Spring Street N
Talladega, AL 35160
Billing Phone
256-315-1697
Specialty Type
Multi-Specialty Practice
Website
Visit Website
Map
Address