Contract Details
BBH BMC, LLC
Facility name
Childersburg Wound Care Clinic
Provider ID
P000008740
NPI
1003260480
Tax ID
474757851
Effective Date
4/17/2018
Last Updated
1/4/2019
Direct Contract
Yes
Term Date
12/31/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_371
Location Details
Address
34011 Highway 280 East
Childersburg, AL 35044
United States
County
Talladega
Phone
2058771000 (Phone)
Billing Details
Address
2010 Brookwood Medical Center Drive
Birmingham, AL 35209
Billing Phone
2058771000
Specialty Type
Wound Care and Hyperbaric Medicine
Map
Address