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Contract Details
HealthGroup of Alabama, LLC
Facility name
Occupational Health Group
Provider ID
P000002289
NPI
1205204732
Tax ID
260811369
Effective Date
10/1/2000
Last Updated
2/8/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_251
AM_251
Location Details
Address
1104 Monroe Street SW
Huntsville, AL 35801
United States
County
Madison
Phone
2562657000
(
Phone
)
Billing Details
Address
1104 Monroe Street SW
Huntsville, AL 35801
Billing Phone
2562657000
Specialty Type
Occupational Medicine Facility
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Address