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
5779 Brainerd Road
Chattanooga, TN 37411
United States
County
Hamilton
Phone
4238007500 (Phone)
Billing Details
Address
P.O. Box 840138
Dallas, TX 75284
Billing Phone
4238007500
Specialty Type
Occupational Medicine Facility
Map
Address