Contract Details
Fast360, LLC
Facility name
Valley Center for Nerve Studies & Rehabilitation
Provider ID
P000002494
NPI
1811142763
Tax ID
460926698
Effective Date
1/1/2017
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_312
Location Details
Address
2227 Drake Avenue Southwest Building 5
Huntsville, AL 35805
United States
County
Madison
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address