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Contract Details
Infirmary Health System
Facility name
Mobile Infirmary
Provider ID
P000002551
NPI
1558364802
Tax ID
630288856
Effective Date
5/15/1998
Last Updated
7/14/2022
Direct Contract
Yes
Term Date
7/12/2022
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_035
AM_035
Location Details
Address
5 Mobile Infirmary Circle
Mobile, AL 36607
United States
County
Mobile
Phone
2514352400
(
Phone
)
Billing Details
Address
5 Mobile Infirmary Circle
Mobile, AL 36607
Billing Phone
2514354700
Specialty Type
Hospital, Acute Care
Map
Address