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Contract Details
The Healthcare Authority of Lauderdale County and the City of Florence
Facility name
Eliza Coffee Memorial Hospital
Provider ID
P000002524
NPI
1477539971
Tax ID
272451336
Effective Date
10/1/1995
Last Updated
12/12/2018
Direct Contract
Yes
Term Date
12/6/2018
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_012
AM_012
Location Details
Address
205 Marengo Street
Florence, AL 35630
United States
County
Lauderdale
Phone
2567689191
(
Phone
)
Billing Details
Address
P.O. Box 10005
Florence, AL 35631
Billing Phone
2567689191
Specialty Type
Hospital, Acute Care
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Address