Contract Details
Facility name
Alabama Pain Management
Provider ID
P000001959
NPI
1174799191
Tax ID
753098987
Effective Date
11/1/2008
Last Updated
2/16/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
645 McQueen Smith Road North
Prattville, AL 36066
United States
County
Autauga
Phone
3343580010 (Phone)
Billing Details
Address
645 McQueen Smith Road North
Prattville, AL 36066
Billing Phone
3343580010
Specialty Type
Pain Management Facility
Map
Address