Contract Details
Marshall Health System
Facility name
Marshall Diagnostic Center
Provider ID
P000002244
NPI
1871644435
Tax ID
631119121
Effective Date
10/1/1999
Last Updated
6/26/2014
Direct Contract
Term Date
6/4/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2320 Homer Clayton Drive
Guntersville, AL 35976
United States
County
Marshall
Phone
2565827500 (Phone)
Billing Details
Address
8000 Highway 69
Guntersville, AL 35976
Billing Phone
Specialty Type
Diagnostic Services
Map
Address