Contract Details
Facility name
St. Vincent's Occupational Health Clinic
Provider ID
P000002390
NPI
1679678577
Tax ID
631129096
Effective Date
2/11/1992
Last Updated
7/20/2020
Direct Contract
No
Term Date
1/21/2020
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_457
Location Details
Address
2700 10th Avenue South Building 2, Suite 103
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059302600 (Phone)
Billing Details
Address
2700 10th Avenue South
Building 2, Suite 103
Birmingham, AL 35233
Billing Phone
2059302600
Specialty Type
Occupational Medicine Facility
Map
Address