Contract Details
Nova Healthcare TN, PLLC
Facility name
Nova Medical Centers
Provider ID
P000008403
NPI
1801211024
Tax ID
464750662
Effective Date
2/17/2016
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_271
Location Details
Address
2781 Airways Boulevard
Memphis, TN 38132
United States
County
Shelby
Phone
9012911100 (Phone)
Billing Details
Address
P.O. Box 840138
Dallas, TX 75284
Billing Phone
9012911100
Specialty Type
Occupational Medicine Facility
Map
Address