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Contract Details
Facility name
Mercy Medical
Provider ID
P000002550
NPI
1063419141
Tax ID
636002215
Effective Date
12/1/2008
Last Updated
6/30/2014
Direct Contract
Yes
Term Date
6/30/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_034
AM_034
Location Details
Address
101-B Villa Drive
Daphne, AL 36526
United States
County
Baldwin
Phone
2516214200
(
Phone
)
Billing Details
Address
P.O. Box 1090
Daphne, AL 36526
Billing Phone
2516214200
Specialty Type
Hospital, Rehabilitation
Map
Address