Contract Details
Davis Medical Clinic, LTD
Facility name
Vernon Medical Clinic
Provider ID
P000000001
NPI
1184926081
Tax ID
630670166
Effective Date
6/9/2021
Last Updated
6/14/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
110 Medical Clinic Drive
Vernon, AL 35592
United States
Phone
205-695-9411 (Phone)
Billing Details
Address
110 Medical Clinic Drive
Vernon, AL 35592
Billing Phone
205-695-9411
Specialty Type
Family Practice
Map
Address