Contract Details
ProHealth of North Central
Facility name
ProHealth Home Health & Hospice
Provider ID
P000000001
NPI
1538579545
Tax ID
464110465
Effective Date
6/18/2021
Last Updated
7/30/2021
Direct Contract
Yes
Term Date
7/31/2021
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_485
Location Details
Address
25522 Highway 75N
Oneonta, AL 35121
United States
Phone
205-274-0020 (Phone)
Billing Details
Address
25522 Highway 75N
Oneonta, AL 35121
Billing Phone
205-274-0020
Specialty Type
Home Health
Website
Visit Website
Map
Address