Contract Details
ADIN Healthcare, Inc.
Facility name
Cullman Physical Medicine
Provider ID
P000008382
NPI
1467636829
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1701 Main Avenue Southwest Suite D
Cullman, AL 35055
United States
County
Cullman
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address