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Contract Details
Jackson County Healthcare Authority
Facility name
Highlands Occupational Medicine Center
Provider ID
P000002194
NPI
1427164177
Tax ID
636004388
Effective Date
5/1/2004
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
380 Woods Cove Road
Scottsboro, AL 35768
United States
County
Jackson
Phone
2562183860
(
Phone
)
Billing Details
Address
380 Woods Cove Road
Scottsboro, AL 35768
Billing Phone
2562183860
Specialty Type
Occupational Medicine Facility
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Address