Contract Details
Facility name
St. Vincent's Occupational Health Clinic
Provider ID
P000002390
NPI
1679678577
Tax ID
631129096
Effective Date
2/11/1992
Last Updated
7/20/2020
Direct Contract
No
Term Date
1/21/2020
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_457
Location Details
Address
2910 Morgan Road Suite 100
Bessemer, AL 35022
United States
County
Jefferson
Phone
2052304915 (Phone)
Billing Details
Address
2910 Morgan Road
Suite 100
Birmingham, AL 35022
Billing Phone
2059302600
Specialty Type
Occupational Medicine Facility
Map
Address