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Contract Details
HH Tennessee Valley Pain Center
Facility name
Tennessee Valley Pain
Provider ID
P000000001
NPI
1730548264
Tax ID
844321418
Effective Date
11/21/2024
Last Updated
11/27/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive Suite 400
Huntsville, AL 35801
United States
Phone
256-265-7246
(
Phone
)
Billing Details
Address
201 Governors Drive
Suite 400
Huntsville, AL 35801
Billing Phone
256-265-7246
Specialty Type
Pain Management Facility
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