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Contract Details
Baptist Health System--Montgomery
Facility name
Baptist Medical Center South
Provider ID
P000002513
NPI
1700977105
Tax ID
203204949
Effective Date
2/1/2000
Last Updated
10/23/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_344
AM_344
Location Details
Address
2105 East South Boulevard
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342882100
(
Phone
)
Billing Details
Address
P.O. Box 241145
Montgomery, AL 36124
Billing Phone
3342734520
Specialty Type
Hospital, Acute Care
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Address