Contract Details
Quality of Life Health Services
Facility name
W.T. Scruggs Medical Center
Provider ID
P000000001
NPI
1588615959
Tax ID
630727804
Effective Date
10/13/2023
Last Updated
10/25/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4350 Cleveland Avenue
Walnut Grove, AL 35990
United States
Phone
205-589-6361 (Phone)
Billing Details
Address
4350 Cleveland Avenue
Walnut Grove, AL 35990
Billing Phone
205-589-6361
Specialty Type
Multi-Specialty Practice
Website
Visit Website
Map
Address