Contract Details
One Call Care Management
Facility name
Dothan Diagnostic Imaging
Provider ID
P000002086
NPI
1972561686
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
6/3/2014
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
2240 West Main Street
Dothan, AL 36301
United States
County
Houston
Phone
3347921525 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address