Contract Details
Facility name
Same Day Surgery Center - Prattville
Provider ID
P000002393
Tax ID
630842361
Effective Date
2/1/2000
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
635 McQueen Smith Road North
Prattville, AL 36066
United States
County
Autauga
Phone
3343582058 (Phone)
Billing Details
Address
635 McQueen Smith Road North
Prattville, AL 36066
Billing Phone
3353582058
Specialty Type
Ambulatory Surgical Facility
Map
Address