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Contract Details
Infirmary Health System
Facility name
Infirmary West
Provider ID
P000002542
NPI
1740295484
Tax ID
203713023
Effective Date
4/1/2006
Last Updated
6/24/2014
Direct Contract
Yes
Term Date
9/17/2013
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_026
AM_026
Location Details
Address
5600 Girby Road
Mobile, AL 36693
United States
County
Mobile
Phone
2516605120
(
Phone
)
Billing Details
Address
5600 Girby Road
Mobile, AL 36693
Billing Phone
2516605120
Specialty Type
Hospital, Acute Care
Map
Address