Contract Details
Trinity Medical Center
Facility name
Grandview Medical Center
Provider ID
P000002577
NPI
1023061405
Tax ID
203391873
Effective Date
8/1/1994
Last Updated
2/7/2017
Direct Contract
Yes
Term Date
1/31/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_052
Location Details
Address
800 Montclair Road
Birmingham, AL 35213
United States
County
Jefferson
Phone
2055921000 (Phone)
Billing Details
Address
P.O. Box 403804
Atlanta, GA 30384
Billing Phone
2055921000
Specialty Type
Hospital, Acute Care
Map
Address