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Contract Details
Highlands Professional Services
Facility name
Highlands Occupational Medicine Center
Provider ID
P000000001
NPI
1427164177
Tax ID
873773130
Effective Date
7/20/2023
Last Updated
7/26/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
380 Woods Cove Road
Scottsboro, AL 35768
United States
Phone
256-218-3860
(
Phone
)
Billing Details
Address
P.O. Box 1050
Scottsboro, AL 35768
Billing Phone
256-218-3860
Specialty Type
Occupational Medicine
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