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Contract Details
Facility name
Lakeland Community Hospital
Provider ID
P000002546
NPI
1275600967
Tax ID
300109979
Effective Date
2/9/2004
Last Updated
6/25/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_030
AM_030
Location Details
Address
42024 Highway 195 East
Haleyville, AL 35565
United States
County
Winston
Phone
2054865213
(
Phone
)
Billing Details
Address
42024 Highway 195 East
Haleyville, AL 35565
Billing Phone
2054865213
Specialty Type
Hospital, Acute Care
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Address