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Contract Details
St. Vincent's Health System
Facility name
St. Vincent's Chilton
Provider ID
P000008525
NPI
1093171860
Tax ID
810935368
Effective Date
5/15/2019
Last Updated
5/28/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_416
AM_416
Location Details
Address
2030 Lay Dam Road
Clanton, AL 35045
United States
County
Chilton
Phone
2052584400
(
Phone
)
Billing Details
Address
P.O. Box 11407
Department #1582
Birmingham, AL 35246
Billing Phone
2059397000
Specialty Type
Hospital, Acute Care
Map
Address