Contract Details
Facility name
Vaughn Urgent Care
Provider ID
P000008030
NPI
1043599541
Tax ID
452981082
Effective Date
9/16/2014
Last Updated
2/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
9540 Wynlakes Place
Montgomery, AL 36117
United States
County
Montgomery
Phone
3343959933 (Phone)
Billing Details
Address
9540 Wynlakes Place
Montgomery, AL 36117
Billing Phone
3343959933
Specialty Type
Urgent Care Facility
Map
Address