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Contract Details
Baptist Health System--Birmingham
Facility name
Montclair Baptist Medical Center
Provider ID
P000002010
Tax ID
630312913
Effective Date
3/11/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
9/30/2005
Status
W9 Attachment
Contract Discounts
Discount Type
D
Billed Charges Multiplier
75.00
Location Details
Address
800 Montclair Road
Birmingham, AL 35213
United States
County
Jefferson
Phone
2059303101
(
Phone
)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35222
Billing Phone
2057155427
Specialty Type
Physical Therapy
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Address