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Contract Details
Infirmary Health System
Facility name
North Baldwin Infirmary
Provider ID
P000002552
NPI
1134164924
Tax ID
630891904
Effective Date
4/3/2008
Last Updated
6/27/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_180
AM_180
Location Details
Address
1815 Hand Avenue
Bay Minette, AL 36507
United States
County
Baldwin
Phone
2519375521
(
Phone
)
Billing Details
Address
P.O. Box 1409
Bay Minette, AL 36507
Billing Phone
2515801717
Specialty Type
Hospital, Acute Care
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Address