Contract Details
Affinity Physician Services, LLC
Facility name
Trinity Medical Clinics at Montclair
Provider ID
P000007730
Tax ID
203391830
Effective Date
11/11/2013
Last Updated
5/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
860 Montclair Road Suite 251
Birmingham, AL 35213
United States
County
Jefferson
Phone
2055992571 (Phone)
Billing Details
Address
860 Montclair Road
Suite 251
Birmingham, AL 35213
Billing Phone
2055992571
Specialty Type
General Practice
Map
Address