Contract Details
Facility name
St. Vincent's Occupational Health Clinic
Provider ID
P000000001
NPI
1679678577
Tax ID
631129026
Effective Date
11/20/2023
Last Updated
11/29/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_526
Location Details
Address
1 Lakeshore Drive Suite 301
Birmingham, AL 35209
United States
Phone
205-930-2910 (Phone)
Billing Details
Address
1 Lakeshore Drive
Suite 301
Birmingham, AL 35209
Billing Phone
205-930-2910
Specialty Type
Occupational Medicine
Map
Address