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Contract Details
Facility name
North Alabama Worker's Care
Provider ID
P000002324
NPI
1811138431
Tax ID
631138502
Effective Date
3/1/2010
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
7/9/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1874 Beltline Road Suite 180
Decatur, AL 35603
United States
County
Morgan
Phone
2563502211
(
Phone
)
Billing Details
Address
1874 Beltline Road
Suite 180
Decatur, AL 35603
Billing Phone
2563502211
Specialty Type
Family Practice
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