Contract Details
One Call Care Management
Facility name
Fort Payne MRI
Provider ID
P000002239
NPI
1730145988
Tax ID
223218521
Effective Date
6/1/2008
Last Updated
6/3/2014
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
1110 Glenn Boulevard Southwest Suite 100
Fort Payne, AL 35967
United States
County
De Kalb
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address