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Contract Details
University of Alabama Health Services Foundation, P.C.
Facility name
The Workplace
Provider ID
P000002464
Tax ID
630649108
Effective Date
4/1/1996
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_132
AM_132
Location Details
Address
1201 11th Avenue South Suite 100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059335300
(
Phone
)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
2059335300
Specialty Type
Occupational Medicine Facility
Map
Address