Contract Details
HealthGroup of Alabama, LLC
Facility name
Occupational Health Group Madison
Provider ID
P000002290
NPI
1003283524
Tax ID
260811369
Effective Date
5/1/1992
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
9/2/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
9238 Madison Boulevard Building 1, Suite 200
Madison, AL 35758
United States
County
Madison
Phone
2562653285 (Phone)
Billing Details
Address
P.O. Box 7187
Huntsville, AL 35807
Billing Phone
2562657000
Specialty Type
Physical Therapy
Map
Address