Contract Details
The Russell Hospital Corporation
Facility name
Health Partners of Goodwater
Provider ID
P000000001
NPI
1174990626
Tax ID
630385130
Effective Date
3/1/1999
Last Updated
1/13/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_042
Location Details
Address
21342 AL-9
Goodwater, AL 35072
United States
Phone
256-743-1300 (Phone)
Billing Details
Address
P.O. Box 939
Alexander City, AL 35011
Billing Phone
256-329-1709
Specialty Type
Family Practice