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Contract Details
One Call Care Management
Facility name
Highlands Diagnostic Center
Provider ID
P000002193
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
5/14/2018
Direct Contract
No
Term Date
5/14/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
AM_059
Location Details
Address
2173 Highland Avenue South
Birmingham, AL 35205
United States
County
Jefferson
Phone
8008722875
(
Phone
)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
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Address