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Contract Details
Athens-Limestone Hospital
Facility name
Medical East
Provider ID
P000002002
NPI
1275591794
Tax ID
721395031
Effective Date
12/1/1997
Last Updated
11/25/2013
Direct Contract
Yes
Term Date
11/25/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
15243 Greenfield Drive
Athens, AL 35613
United States
County
Limestone
Phone
2567710994
(
Phone
)
Billing Details
Address
Specialty Type
General Practice
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Address