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Contract Details
Huntsville Hospital Health System
Facility name
Athens Limestone Hospital
Provider ID
P000008569
NPI
1144695081
Tax ID
475531420
Effective Date
1/1/2016
Last Updated
2/9/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_299
AM_299
Location Details
Address
700 West Market Street
Athens, AL 35611
United States
County
Limestone
Phone
2562339292
(
Phone
)
Billing Details
Address
P.O. Box 999
Athens, AL 35612
Billing Phone
2562339292
Specialty Type
Hospital, Acute Care
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Address