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Contract Details
Huntsville Hospital Spine and Neuro Center
Facility name
Huntsville Hospital Spine and Neuro Center
Provider ID
P000008694
NPI
1407210925
Tax ID
812146883
Effective Date
5/8/2017
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1215 7th Street Southeast, Suite G300 Medical Plaza 1
Decatur, AL 35601
United States
County
Morgan
Phone
2565331600
(
Phone
)
Billing Details
Address
1215 7th Street Southeast, Suite G300
Medical Plaza 1
Decatur, AL 35601
Billing Phone
2565331600
Specialty Type
Surgery, Neurological
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