Contract Details
Facility name
Southeast Alabama Medical Center
Provider ID
P000002413
Tax ID
636004476
Effective Date
3/1/1999
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1108 Ross Clark Circle
Dothan, AL 36301
United States
County
Houston
Phone
3347938111 (Phone)
Billing Details
Address
P.O. Box 1687
Dothan, AL 36302
Billing Phone
3347938111
Specialty Type
Physical Therapy
Map
Address