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Contract Details
Surgical Care Affiliates
Facility name
Shoals Outpatient Surgery
Provider ID
P000002410
NPI
1972568830
Tax ID
621551098
Effective Date
12/1/1997
Last Updated
9/22/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_161
AM_161
Location Details
Address
103 Helton Court
Florence, AL 35630
United States
County
Lauderdale
Phone
2567600672
(
Phone
)
Billing Details
Address
103 Helton Court
Florence, AL 35630
Billing Phone
2567600672
Specialty Type
Ambulatory Surgical Facility
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Address