Contract Details
Facility name
MedCenter South
Provider ID
P000002480
NPI
1689689481
Tax ID
631274310
Effective Date
12/1/2006
Last Updated
11/16/2017
Direct Contract
Yes
Term Date
11/13/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5005 Oscar Baxter Drive
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2053432205 (Phone)
Billing Details
Address
5005 Oscar Baxter Drive
Tuscaloosa, AL 35405
Billing Phone
2053432205
Specialty Type
Urgent Care Facility
Map
Address