Contract Details
DCH Health System
Facility name
Fayette Medical Center
Provider ID
P000002140
Tax ID
636004942
Effective Date
12/6/1999
Last Updated
6/12/2014
Direct Contract
Yes
Term Date
6/12/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_013
Location Details
Address
1653 Temple Avenue North
Fayette, AL 35555
United States
County
Fayette
Phone
2059325966 (Phone)
Billing Details
Address
809 University Boulevard East
Tuscaloosa, AL 35401
Billing Phone
2569325966
Specialty Type
Ambulatory Surgical Facility
Map
Address