Contract Details
One Call Care Management
Facility name
Open MRI of Decatur
Provider ID
P000002299
NPI
1033179809
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
10/13/2015
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
1201 13th Avenue Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address