Contract Details
ADIN Healthcare, Inc.
Facility name
Dothan Neurodiagnostic Center
Provider ID
P000006854
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
806 Glover Avenue Suite B
Enterprise, AL 36330
United States
County
Coffee
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address