Contract Details
Brookwood Health Services, Inc.
Facility name
Gardendale Surgical Associates, LLC
Provider ID
P000008537
NPI
1730318353
Tax ID
205936644
Effective Date
12/15/2016
Last Updated
8/16/2017
Direct Contract
Yes
Term Date
8/14/2017
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_331
Location Details
Address
2213 Decatur Hwy
Gardendale, AL 35071
United States
County
Jefferson
Phone
2054186021 (Phone)
Billing Details
Address
2213 Decatur Hwy
Gardendale, AL 35071
Billing Phone
2054186021
Specialty Type
Ambulatory Surgical Facility
Map
Address