Contract Details
HealthGroup of Alabama, LLC
Facility name
Occupational Health Group Decatur
Provider ID
P000008310
NPI
1194192625
Tax ID
260811369
Effective Date
2/16/2022
Last Updated
8/23/2022
Direct Contract
Yes
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_253
Location Details
Address
1615 Kathy Lane
Decatur, AL 35603
United States
County
Morgan
Phone
2563434325 (Phone)
Billing Details
Address
1615 Kathy Lane
Huntsville, AL 35603
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address