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Contract Details
Facility name
Mercy Medical
Provider ID
P000007924
NPI
1174587067
Tax ID
636002215
Effective Date
12/1/2008
Last Updated
6/30/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_181
AM_181
Location Details
Address
101-B Villa Drive
Daphne, AL 36526
United States
County
Baldwin
Phone
2516214431
(
Phone
)
Billing Details
Address
P.O. Box 1090
Daphne, AL 36526
Billing Phone
2516214431
Specialty Type
Home Health
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