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Contract Details
Brookwood Center for Development Corporation
Facility name
Women's Diagnostic Center
Provider ID
P000002026
NPI
1770519001
Tax ID
630574009
Effective Date
4/24/2002
Last Updated
3/17/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_126
AM_126
Location Details
Address
2006 Brookwood Medical Center Drive
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058026900
(
Phone
)
Billing Details
Address
P.O. Box 740799
Atlanta, GA 30374
Billing Phone
2058772344
Specialty Type
Diagnostic Services
Map
Address