Contract Details
Facility name
Open MRI of Jasper
Provider ID
P000007300
NPI
1598700965
Tax ID
202513140
Effective Date
3/1/2006
Last Updated
6/24/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
301 North Walston Bridge Road Suite 104
Jasper, AL 35504
United States
County
Walker
Phone
2053870977 (Phone)
Billing Details
Address
301 North Walston Bridge Road
Suite 104
Jasper, AL 35504
Billing Phone
2053870977
Specialty Type
Magnetic Resonance Imaging (MRI) Facility
Map
Address