Contract Details
Gadsden Regional Medical Center
Facility name
Outpatient Open MRI of Gadsden
Provider ID
P000002314
NPI
1053360248
Tax ID
631102774
Effective Date
12/1/1997
Last Updated
3/17/2016
Direct Contract
Yes
Term Date
3/17/2016
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_125
Location Details
Address
3502 Rainbow Drive Suite B
Gadsden, AL 35906
United States
County
Etowah
Phone
2564422779 (Phone)
Billing Details
Address
P.O. Box 637237
Cincinnati, OH 45263
Billing Phone
2564422779
Specialty Type
Diagnostic Services
Map
Address