Contract Details
ADIN Healthcare, Inc.
Facility name
Fort Payne MRI
Provider ID
P000002239
NPI
1730145988
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
M
Exhibit ID
AM_149
Location Details
Address
1110 Glenn Boulevard Southwest Suite 100
Fort Payne, AL 35967
United States
County
De Kalb
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address