Contract Details
One Call Care Management
Facility name
Alliance Healthcare Services
Provider ID
P000001966
NPI
1235177759
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
805 Friendship Road Suite G
Tallassee, AL 36078
United States
County
Elmore
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address