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Contract Details
HealthGroup of Alabama, LLC
Facility name
Occupational Health Group Madison
Provider ID
P000002290
NPI
1003283524
Tax ID
260811369
Effective Date
10/1/2000
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_252
AM_252
Location Details
Address
9238 Madison Boulevard Building 1, Suite 200
Madison, AL 35758
United States
County
Madison
Phone
2562653285
(
Phone
)
Billing Details
Address
P.O. Box 7187
Huntsville, AL 35807
Billing Phone
2562657000
Specialty Type
Occupational Medicine Facility
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