Contract Details
ADIN Healthcare, Inc.
Facility name
Centennial Neurology and Headache Center
Provider ID
P000006839
NPI
1720258056
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
1/6/2016
Direct Contract
Yes
Term Date
1/6/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1325 McFarland Boulevard Suite 201
Northport, AL 35476
United States
County
Tuscaloosa
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address