Jason    Clemons    MD
Contract Details
St. Vincent's Occupational Health Clinic
Facility name
Provider ID
P000000001
NPI
1881031367
Tax ID
631129096
Effective Date
1/22/2020
Last Updated
3/23/2023
Direct Contract
Yes
Term Date
3/1/2023
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_438
Location Details
Address
2910 Morgan Road Suite 100
Bessemer, AL 35022
United States
Phone
205-230-4915 (Phone)
Billing Details
Address
2910 Morgan Road
Suite 100
Bessemer, AL 35022
Billing Phone
205-230-4915
Specialty Type
Occupational Medicine
Map
Address