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Contract Details
Affinity Hospital, LLC
Facility name
Grandview Medical Center
Provider ID
P000000001
NPI
1023061405
Tax ID
203391873
Effective Date
2/1/2022
Last Updated
2/9/2023
Direct Contract
Yes
Term Date
1/31/2023
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_498
Exhibit Attachment
Location Details
Address
3690 Grandview Parkway
Birmingham, AL 35243
United States
Phone
205-592-1000
(
Phone
)
Billing Details
Address
3690 Grandview Parkway
Birmingham, AL 35243
Billing Phone
205-592-1000
Specialty Type
Hospital, Acute Care
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