Contract Details
BW Physician Practices, LLC
Facility name
Brookwood Baptist Primary Care Network Vestavia
Provider ID
P000009213
Tax ID
474758110
Effective Date
7/1/2018
Last Updated
9/10/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
200 Montgomery Highway Suite 225
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058717746 (Phone)
Billing Details
Address
200 Montgomery Highway
Suite 225
Birmingham, AL 35216
Billing Phone
2058717746
Specialty Type
Occupational Medicine Facility
Map
Address