Contract Details
Triad of Alabama, LLC
Facility name
Flowers Hospital
Provider ID
P000002144
Tax ID
621762412
Effective Date
3/1/2005
Last Updated
6/13/2014
Direct Contract
Yes
Term Date
6/13/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_014
Location Details
Address
4370 West Main Street
Dothan, AL 36305
United States
County
Houston
Phone
3347935000 (Phone)
Billing Details
Address
P.O. Box 6907
Dothan, AL 36302
Billing Phone
Specialty Type
Diagnostic Services
Map
Address