Contract Details
Facility name
Springhill Physician Practices
Provider ID
P000002444
NPI
1821145269
Tax ID
630967293
Effective Date
3/23/2011
Last Updated
9/3/2015
Direct Contract
Yes
Term Date
9/9/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3632 Dauphin Street Suite 101-B
Mobile, AL 36608
United States
County
Mobile
Phone
2514103890 (Phone)
Billing Details
Address
3715 Dauphin Street
Suite 503-B
Mobile, AL 36608
Billing Phone
Specialty Type
General Practice
Map
Address