Contract Details
Facility name
Enhabit Health Hospice
Provider ID
P000000001
NPI
1124596267
Tax ID
832426546
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
650 Stone Avenue
Talladega, AL 35160
United States
Phone
256-268-8701 (Phone)
Billing Details
Address
650 Stone Avenue
Talladega, AL 35160
Billing Phone
256-268-8701
Specialty Type
Hospice
Map
Address