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Contract Details
Infirmary Health System
Facility name
Thomas Hospital
Provider ID
P000002472
Tax ID
630891904
Effective Date
3/15/1999
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
6/27/2014
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_036
AM_036
Location Details
Address
750 Morphy Avenue
Fairhope, AL 36532
United States
County
Baldwin
Phone
2519282375
(
Phone
)
Billing Details
Address
P.O. Box 929
Fairhope, AL 36533
Billing Phone
2519282375
Specialty Type
Physical Therapy
Map
Address