Contract Details
Facility name
Grove Hill Memorial Hospital
Provider ID
P000002169
Tax ID
630436871
Effective Date
10/24/2000
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
295 South Jackson Street
Grove Hill, AL 36451
United States
County
Clarke
Phone
3346366207 (Phone)
Billing Details
Address
P.O. Box 935
Grove Hill, AL 36451
Billing Phone
2512753191
Specialty Type
Physical Therapy
Map
Address