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Contract Details
BH BHC, LLC
Facility name
Brookwood Medical Center Wound Care and Hyperbaric Medicine
Provider ID
474757851
NPI
P000009284
Tax ID
474757851
Effective Date
1/1/2020
Last Updated
12/23/2020
Direct Contract
Yes
Term Date
12/31/2020
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_436
Exhibit Attachment
Location Details
Address
2010 Brookwood Medical Center Drive
Birmingham, AL 35209
United States
Phone
2058771000
(
Phone
)
Billing Details
Address
2010 Brookwood Medical Center Drive
Birmingham, AL 35209
Billing Phone
2058771000
Specialty Type
Wound Care