Jason    Clemons    MD
Contract Details
St. Vincent's Occupational Health Clinic
Facility name
Provider ID
P000009360
NPI
1881031367
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
2910 Morgan Road Suite 100
Bessemer, AL 35022
United States
County
Jefferson
Phone
2054032020 (Phone)
Billing Details
Address
2910 Morgan Road
Suite 100
Birmingham, AL 35022
Billing Phone
2059302600
Specialty Type
Occupational Medicine
Map
Address