Contract Details
ADIN Healthcare, Inc.
Facility name
Cullman Primary Care
Provider ID
P000002603
NPI
1598717381
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
501 Clark Street Northeast
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