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Contract Details
Lakeland Community Hospital, Inc.
Facility name
Lakeland Community Hospital
Provider ID
P000002546
NPI
1275600967
Tax ID
472367677
Effective Date
1/1/2015
Last Updated
6/4/2015
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_246
AM_246
Location Details
Address
42024 Highway 195 East
Haleyville, AL 35565
United States
County
Winston
Phone
2054865213
(
Phone
)
Billing Details
Address
P.O. Box 742330
Atlanta, GA 30374
Billing Phone
2054865213
Specialty Type
Hospital, Acute Care
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Address