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Contract Details
St. Vincent's Health System
Facility name
St. Vincent's East
Provider ID
P000002567
NPI
1841308020
Tax ID
630578923
Effective Date
6/1/1997
Last Updated
5/7/2018
Direct Contract
Yes
Term Date
5/6/2018
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_046
AM_046
Location Details
Address
50 Medical Park East Drive
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383000
(
Phone
)
Billing Details
Address
P.O. Box 934547
Atlanta, GA 31193
Billing Phone
2058383343
Specialty Type
Hospital, Acute Care
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Address