Contract Details
Facility name
Northwest Chiropractic Clinic
Provider ID
P000002283
NPI
1467515650
Tax ID
205260570
Effective Date
11/15/2006
Last Updated
9/2/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
42129 Highway 195
Haleyville, AL 35565
United States
County
Winston
Phone
2054869990 (Phone)
Billing Details
Address
P.O. Box 1370
Haleyville, AL 35565
Billing Phone
2054869990
Specialty Type
Chiropractic Medicine
Map
Address