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Contract Details
North Alabama Occupational Health
Facility name
Occupational Health Center, LLC
Provider ID
P000007301
NPI
1972925162
Tax ID
611661796
Effective Date
10/1/2016
Last Updated
7/31/2024
Direct Contract
Yes
Term Date
7/31/2024
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2129 Helton Drive
Florence, AL 35630
United States
County
Lauderdale
Phone
256-760-1977
(
Phone
)
Billing Details
Address
2129 Helton Drive
Florence, AL 35630
Billing Phone
256-760-1977
Specialty Type
Occupational Medicine Facility
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Address