Contract Details
Facility name
Brookwood Primary Care - The Narrows
Provider ID
P000002599
NPI
1790975456
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
13521 Old Highway 280 Suite 201
Birmingham, AL 35242
United States
County
Shelby
Phone
2054084349 (Phone)
Billing Details
Address
13521 Old Highway 280
Suite 201
Birmingham, AL 35242
Billing Phone
2054084349
Specialty Type
Family Practice
Map
Address