Contract Details
Facility name
Emergi-Care Clinic
Provider ID
P000002105
NPI
1366408502
Tax ID
630849296
Effective Date
1/11/1993
Last Updated
2/10/2020
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1601 University Boulevard East
Tuscaloosa, AL 35404
United States
County
Tuscaloosa
Phone
2053492273 (Phone)
Billing Details
Address
1771 Skyland Boulevard East
Tuscaloosa, AL 35405
Billing Phone
2053492273
Specialty Type
General Practice
Map
Address