Contract Details
Facility name
Enhabit Health Hospice
Provider ID
P000000001
NPI
1629539077
Tax ID
834088630
Effective Date
9/4/2020
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_461
Location Details
Address
2002 Lay Dam Road
Clanton, AL 35045
United States
Phone
205-755-6955 (Phone)
Billing Details
Address
2002 Lay Dam Road
Clanton, AL 35045
Billing Phone
205-755-6955
Specialty Type
Hospice
Map
Address