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Contract Details
St. Vincent's Health System
Facility name
St. Vincent's Blount
Provider ID
P000002566
NPI
1447353941
Tax ID
630909073
Effective Date
10/16/2001
Last Updated
5/7/2018
Direct Contract
Yes
Term Date
5/6/2018
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_045
AM_045
Location Details
Address
150 Gilbreath Drive
Oneonta, AL 35121
United States
County
Blount
Phone
2052743000
(
Phone
)
Billing Details
Address
P.O. Box 11407
Department #1582
Birmingham, AL 35246
Billing Phone
2059397000
Specialty Type
Hospital, Acute Care
Map
Address