Contract Details
Facility name
Enhabit Health Hospice
Provider ID
P000000001
NPI
1053856591
Tax ID
813288383
Effective Date
9/4/2020
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_461
Location Details
Address
3230 Ross Clark Circle Suite 1
Dothan, AL 36303
United States
Phone
334-671-2290 (Phone)
Billing Details
Address
3230 Ross Clark Circle
Suite 1
Dothan, AL 36303
Billing Phone
334-671-2290
Specialty Type
Hospice
Map
Address