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Contract Details
Facility name
Marshall-DeKalb Occupational Health
Provider ID
P000000001
NPI
1538511340
Tax ID
823581568
Effective Date
7/21/2020
Last Updated
7/28/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3442 US-431
Albertville, AL 35950
United States
Phone
256-907-9004
(
Phone
)
Fax
256-907-9003
Billing Details
Address
3442 US-431
Albertville, AL 35950
Billing Phone
256-907-9004
Specialty Type
Occupational Medicine
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Address