Contract Details
Facility name
Washington County Hospital
Provider ID
P000002628
NPI
1487699203
Tax ID
636003514
Effective Date
11/2/2011
Last Updated
10/2/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
94.00
Location Details
Address
14600 Saint Stephens Avenue
Chatom, AL 36518
United States
County
Washington
Phone
2518472223 (Phone)
Billing Details
Address
P.O. Box 1299
Chatom, AL 36518
Billing Phone
2518472223
Specialty Type
Hospital, Acute Care
Map
Address