Contract Details
Tombigbee Healthcare Authority
Facility name
Bryan W. Whitfield Memorial Hospital
Provider ID
P000002515
NPI
1588690085
Tax ID
636002343
Effective Date
11/15/2006
Last Updated
5/10/2023
Direct Contract
Yes
Term Date
4/30/2023
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_003
Location Details
Address
105 Highway 80 East
Demopolis, AL 36732
United States
County
Marengo
Phone
3342894000 (Phone)
Billing Details
Address
105 Highway 80 East
Demopolis, AL 36732
Billing Phone
Specialty Type
Hospital, Acute Care
Map
Address