Contract Details
Huntsville Hospital Health System
Facility name
Blackwell Medical Tower Patient Service Center
Provider ID
P000003477
Tax ID
630845288
Effective Date
6/1/2012
Last Updated
6/24/2014
Direct Contract
Yes
Term Date
6/24/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_150
Location Details
Address
201 Sivley Road Southwest Suite 30
Huntsville, AL 35801
United States
County
Madison
Phone
2562652522 (Phone)
Billing Details
Address
101 Sivley Road Southwest
Huntsville, AL 35801
Billing Phone
2562651000
Specialty Type
Laboratory Service Provider
Map
Address