Contract Details
One Call Care Management
Facility name
Montgomery Open MRI
Provider ID
P000002270
NPI
1699733394
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
249 Winton M. Blount Loop
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342130036 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
Specialty Type
Diagnostic Services
Map
Address