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Contract Details
Geneva County Health Care Authority
Facility name
Wiregrass Medical Center & Nursing Home
Provider ID
P000008545
NPI
1629338223
Tax ID
636004474
Effective Date
1/3/2017
Last Updated
1/4/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_290
AM_290
Location Details
Address
1200 W. Maple Ave
Geneva, AL 36340
United States
County
Geneva
Phone
3346843655
(
Phone
)
Billing Details
Address
1200 W. Maple Ave
Geneva, AL 36340
Billing Phone
3346843655
Specialty Type
Hospital, Acute Care
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Address