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Contract Details
Facility name
Russellville Hospital
Provider ID
P000002564
NPI
1316015241
Tax ID
030464224
Effective Date
10/1/2003
Last Updated
3/6/2018
Direct Contract
Yes
Term Date
12/31/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_043
AM_043
Location Details
Address
15155 Highway 43
Russellville, AL 35653
United States
County
Franklin
Phone
2563321611
(
Phone
)
Billing Details
Address
P.O. Box 1089
Russellville, AL 35653
Billing Phone
2563321611
Specialty Type
Hospital, Acute Care
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Address