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Contract Details
Russellville Hospital, Inc.
Facility name
Russellville Hospital
Provider ID
P000002564
NPI
1316015241
Tax ID
472378825
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_248
AM_248
Location Details
Address
15155 Highway 43
Russellville, AL 35653
United States
County
Franklin
Phone
2563321611
(
Phone
)
Billing Details
Address
P.O. Box 742341
Atlanta, GA 30374
Billing Phone
2563321611
Specialty Type
Hospital, Acute Care
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Address