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Contract Details
Noland Health Services
Facility name
Noland Hospital Dothan
Provider ID
P000008983
Tax ID
472491675
Effective Date
10/12/2017
Last Updated
10/13/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1108 Ross Clark Circle 4th Floor
Dothan, AL 36301
United States
County
Houston
Phone
3346994300
(
Phone
)
Billing Details
Address
1108 Ross Clark Circle
4th Floor
Dothan, AL 36301
Billing Phone
3346994300
Specialty Type
Wound Care
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