Contract Details
ADIN Healthcare, Inc.
Facility name
Centennial Neurology
Provider ID
P000006848
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
2/28/2013
Direct Contract
Yes
Term Date
7/2/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
513 Brookwood Boulevard Suite 405
Birmingham, AL 35208
United States
County
Jefferson
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Neurology
Map
Address