Contract Details
Facility name
Brookwood Primary Care - Hoover
Provider ID
P000002596
NPI
1740470251
Tax ID
630574010
Effective Date
4/24/2002
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
3/17/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_058
Location Details
Address
2547 John Hawkins Parkway Suite 103
Birmingham, AL 35244
United States
County
Jefferson
Phone
2059888311 (Phone)
Billing Details
Address
2547 John Hawkins Parkway
Suite 103
Birmingham, AL 35244
Billing Phone
2059888311
Specialty Type
Family Practice
Map
Address