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Contract Details
Facility name
The Clinic P.C.
Provider ID
P000000001
NPI
1356323901
Tax ID
262945212
Effective Date
10/31/2024
Last Updated
11/12/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
16240 Highway 17
Toxey, AL 36921
United States
Phone
251-843-5949
(
Phone
)
Billing Details
Address
16240 Highway 17
Toxey, AL 36921
Billing Phone
251-843-5949
Specialty Type
Urgent Care
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Address