Contract Details
The Hughston Clinic, P.C.
Facility name
Hughston Clinic
Provider ID
P000007231
NPI
1720260052
Tax ID
581155460
Effective Date
2/1/1994
Last Updated
12/6/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_140
Location Details
Address
4401 River Chase Drive
Phenix City, AL 36867
United States
County
Russell
Phone
3347323000 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
7063246661
Specialty Type
Surgery, Orthopedic
Map
Address