Contract Details
Baptist Health System--Birmingham
Facility name
Citizens Baptist Medical Center
Provider ID
P000002517
NPI
1629166194
Tax ID
631105936
Effective Date
12/1/2000
Last Updated
5/21/2017
Direct Contract
Term Date
10/2/2015
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_005
Location Details
Address
604 Stone Avenue
Talladega, AL 35160
United States
County
Talladega
Phone
2563628111 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
Specialty Type
Hospital, Acute Care
Map
Address