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Contract Details
D.W. McMillan Memorial Hospital
Facility name
Brewton Medical Center
Provider ID
P000000001
NPI
1336196856
Tax ID
636000288
Effective Date
1/19/2016
Last Updated
1/14/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_267
Exhibit Attachment
Location Details
Address
1121 Belleville Avenue
Brewton, AL 36426
United States
Phone
251-867-6071
(
Phone
)
Fax
251-867-5999
Billing Details
Address
P.O. Box 648
Brewton, AL 36427
Billing Phone
251-867-6071
Specialty Type
Family Practice
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