Contract Details
BH BHC, LLC
Facility name
Childersburg Wound Care Clinic
Provider ID
474757851
NPI
P000009286
Tax ID
474757851
Effective Date
1/1/2020
Last Updated
12/23/2020
Direct Contract
Yes
Term Date
12/31/2020
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_436
Location Details
Address
34011 Highway 280 East
Childersburg, AL 35044
United States
Phone
205-877-1000 (Phone)
Billing Details
Address
34011 Highway 280 East
Childersburg, AL 35044
Billing Phone
205-877-1000
Specialty Type
Wound Care