Contract Details
QHG of Jacksonville, Inc.
Facility name
Jacksonville Medical Center
Provider ID
P000002544
NPI
1265483267
Tax ID
621637909
Effective Date
4/15/2002
Last Updated
10/5/2016
Direct Contract
Term Date
9/7/2016
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_028
Location Details
Address
1701 Pelham Road South
Jacksonville, AL 36265
United States
County
Calhoun
Phone
2564354970 (Phone)
Billing Details
Address
P.O. Box 999
Jacksonville, AL 36265
Billing Phone
Specialty Type
Hospital, Acute Care
Map
Address