Allen    Long    MD
Contract Details
Helen Keller Hospital
Facility name
Provider ID
P000001007
Tax ID
630288825
Effective Date
7/15/2011
Last Updated
6/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_023
Location Details
Address
421 Cox Boulevard
Sheffield, AL 35660
United States
County
Colbert
Phone
2563867040 (Phone)
Billing Details
Address
P.O. Box 610
Sheffield, AL 35660
Billing Phone
2513864005
Specialty Type
Ophthalmology
Map
Address