Contract Details
Professional Resources Management of Crenshaw, LLC
Facility name
Crenshaw Community Hospital
Provider ID
P000002518
NPI
1750480406
Tax ID
020606516
Effective Date
11/24/2008
Last Updated
6/12/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_006
Location Details
Address
101 Hospital Circle
Luverne, AL 36049
United States
County
Crenshaw
Phone
3343353374 (Phone)
Billing Details
Address
P.O. Box 5013
Montgomery, AL 36103
Billing Phone
3343860343
Specialty Type
Hospital, Acute Care
Map
Address