Contract Details
Marshall Medical Center South - CRNA's
Facility name
Marshall Medical Center South - CRNA's
Provider ID
P000009452
Tax ID
384050703
Effective Date
10/1/1999
Last Updated
11/18/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_179
Location Details
Address
2505 Highway 431
Boaz, AL 35957
United States
County
Marshall
Phone
2565938310 (Phone)
Billing Details
Address
2505 Highway 431
Boaz, AL 35957
Billing Phone
2565938310
Specialty Type
Certified Registered Nurse Anesthetists-CRNA
Map
Address