Contract Details
ADIN Healthcare, Inc.
Facility name
Heritage Diagnostic Center
Provider ID
P000002191
NPI
1295788222
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
7/2/2012
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
1705 Main Avenue Southwest Suite C
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