Contract Details
Attentus Moulton, LLC
Facility name
Lawrence Medical Center
Provider ID
P000002547
NPI
1568453389
Tax ID
721589022
Effective Date
12/1/2000
Last Updated
6/25/2014
Direct Contract
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_031
Location Details
Address
202 Hospital Street
Moulton, AL 35650
United States
County
Lawrence
Phone
2569742200 (Phone)
Billing Details
Address
P.O. Box 39
Moulton, AL 35650
Billing Phone
Specialty Type
Hospital, Acute Care
Map
Address