Contract Details
Facility name
Mobile Family Care Center
Provider ID
P000002265
NPI
1306942628
Tax ID
631253563
Effective Date
1/16/2001
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
5560 Nevius Road
Mobile, AL 36619
United States
County
Mobile
Phone
2516663737 (Phone)
Billing Details
Address
P.O. Box 190145
Mobile, AL 36619
Billing Phone
2516663737
Specialty Type
Family Practice
Map
Address