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Contract Details
Facility name
Birmingham Surgery Center
Provider ID
P000002017
NPI
1790756237
Tax ID
201788573
Effective Date
10/1/2006
Last Updated
9/2/2015
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_166
AM_166
Location Details
Address
2621 19th Street South
Birmingham, AL 35209
United States
County
Jefferson
Phone
2052718200
(
Phone
)
Billing Details
Address
1833 27th Avenue
Birmingham, AL 35209
Billing Phone
2052718200
Specialty Type
Ambulatory Surgical Facility
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Address