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Contract Details
Brookwood Baptist Imaging, LLC.
Facility name
Brookwood Baptist Imaging
Provider ID
P000008475
NPI
1558720953
Tax ID
810774091
Effective Date
7/5/2016
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_279
AM_279
Location Details
Address
7131 Cahaba Valley Road Suite 101
Birmingham, AL 35242
United States
County
Shelby
Phone
2057256901
(
Phone
)
Billing Details
Address
7131 Cahaba Valley Road
Suite 101
Birmingham, AL 35242
Billing Phone
2057256901
Specialty Type
Diagnostic Services
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Address