Contract Details
Rapha Healthcare, Inc.
Facility name
Springville Family Healthcare
Provider ID
P000002446
NPI
1164600078
Tax ID
630846221
Effective Date
12/1/1997
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
5/8/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
480 Walker Drive
Springville, AL 35146
United States
County
Saint Clair
Phone
2054676919 (Phone)
Billing Details
Address
P.O. Box 830785
Drawer 370
Birmingham, AL 35283
Specialty Type
Family Practice
Map
Address