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Contract Details
Houston County Healthcare Authority
Facility name
Southeast Alabama Medical Center
Provider ID
P000002573
NPI
1164403861
Tax ID
636004476
Effective Date
3/15/1995
Last Updated
11/15/2024
Direct Contract
Yes
Term Date
10/30/2024
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_051
AM_051
Location Details
Address
1108 Ross Clark Circle
Dothan, AL 36301
United States
County
Houston
Phone
3347938111
(
Phone
)
Billing Details
Address
1108 Ross Clark Circle
Dothan, AL 36301
Billing Phone
3347938111
Specialty Type
Hospital, Acute Care
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