Contract Details
ADIN Healthcare, Inc.
Facility name
Dothan Neurodiagnostic Center
Provider ID
P000006851
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
702 North Main Street
Opp, AL 36467
United States
County
Covington
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address