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Contract Details
Northwest Chiropractic Clinic
Facility name
Provider ID
P000007282
NPI
1013925676
Tax ID
205260570
Effective Date
11/15/2006
Last Updated
9/26/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
42129 AL-195
Haleyville, AL 35565
United States
County
Winston
Phone
2054869990 (Phone)
Billing Details
Address
P.O. Box 1370
Haleyville, AL 35565
Billing Phone
2054869990
Specialty Type
Chiropractic Medicine
Map
Address