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Contract Details
Baptist Health System--Montgomery
Facility name
Prattville Baptist Hospital
Provider ID
P000002558
NPI
1942391230
Tax ID
203204949
Effective Date
2/1/2000
Last Updated
10/23/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_345
AM_345
Location Details
Address
124 South Memorial Drive
Prattville, AL 36067
United States
County
Autauga
Phone
3343650651
(
Phone
)
Billing Details
Address
P.O. Box 681630
Prattville, AL 36068
Billing Phone
3343650651
Specialty Type
Hospital, Acute Care
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Address