Contract Details
Facility name
Grove Hill Memorial Hospital
Provider ID
P000002528
NPI
1386694487
Tax ID
630436871
Effective Date
10/24/2000
Last Updated
12/4/2019
Direct Contract
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_016
Location Details
Address
Grove Hill Medical Authority 295 South Jackson Street
Grove Hill, AL 36451
United States
County
Clarke
Phone
2512753191 (Phone)
Billing Details
Address
P.O. Box 935
Grove Hill, AL 36451
Billing Phone
Specialty Type
Hospital, Acute Care
Map
Address