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Contract Details
BBH CBMC, LLC
Facility name
Citizens Baptist Medical Center
Provider ID
P000002517
NPI
1629166194
Tax ID
474802869
Effective Date
10/3/2015
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
5/7/2017
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_255
AM_255
Location Details
Address
604 Stone Avenue
Talladega, AL 35160
United States
County
Talladega
Phone
2563628111
(
Phone
)
Billing Details
Address
P.O. Box 11407
Birmingham, AL 35246
Billing Phone
2054715427
Specialty Type
Hospital, Acute Care
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Address