Contract Details
BBH BMC, LLC
Facility name
Childersburg Wound Care Clinic
Provider ID
P000009286
Tax ID
474757851
Effective Date
1/1/2019
Last Updated
1/14/2020
Direct Contract
No
Term Date
12/31/2019
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_405
Location Details
Address
34011 Highway 280 East
Childersburg, AL 35044
United States
County
Talladega
Phone
2058771000 (Phone)
Billing Details
Address
34011 Highway 280 East
Childersburg, AL 35044
Billing Phone
2058771000
Specialty Type
Wound Care
Map
Address