Contract Details
Facility name
Rainsville Chiropractic Medicine
Provider ID
P000002359
NPI
1780706804
Tax ID
412058593
Effective Date
4/4/2005
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
460 Main Street West
Rainsville, AL 35986
United States
County
De Kalb
Phone
2566384228 (Phone)
Billing Details
Address
P.O. Box 423
Rainsville, AL 35986
Specialty Type
Chiropractic Medicine
Map
Address