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Contract Details
St. Vincent's Health System
Facility name
St. Vincent's East Rehabilitation Center
Provider ID
P000002388
NPI
1629171129
Tax ID
630578923
Effective Date
6/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
50 Medical Park Drive East
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383097
(
Phone
)
Billing Details
Address
50 Medical Park Drive East
Building 46, Suite 300
Birmingham, AL 35235
Billing Phone
2058383097
Specialty Type
Physical Therapy
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