Contract Details
Athens-Limestone Hospital
Facility name
Medical East
Provider ID
P000002251
NPI
1922031202
Tax ID
636002175
Effective Date
10/5/2000
Last Updated
7/16/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
15243 Greenfield Drive
Athens, AL 35613
United States
County
Limestone
Phone
2567710994 (Phone)
Billing Details
Address
15243 Greenfield Drive
Athens, AL 35613
Billing Phone
2567710994
Specialty Type
Family Practice
Map
Address