Contract Details
Crestwood Healthcare, LP
Facility name
Crestwood Medical Center
Provider ID
P000008410
NPI
1023061496
Tax ID
621647983
Effective Date
6/22/2016
Last Updated
3/16/2017
Direct Contract
Yes
Term Date
3/15/2017
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_304
Location Details
Address
One Hospital Drive
Huntsville, AL 35801
United States
County
Madison
Phone
2564294000 (Phone)
Billing Details
Address
PO Box 849007
Dallas, TX 75284
Billing Phone
2568823100
Specialty Type
Hospital, Acute Care
Map
Address