Contract Details
Facility name
USA Healthcare Authority
Provider ID
P000000001
Tax ID
821388539
Effective Date
4/16/2024
Last Updated
5/7/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4201 Evonik Road
Theodore, AL 36582
United States
Phone
251-660-5910 (Phone)
Billing Details
Address
4201 Evonik Road
Theodore, AL 36582
Billing Phone
251-660-5910
Specialty Type
Occupational Medicine
Map
Address