Brad  M  Ginevan    MD
Contract Details
Helen Keller Hospital
Facility name
Provider ID
P000000619
NPI
1285732016
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
203 Avalon Avenue Suite 120
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563866070 (Phone)
Billing Details
Address
P.O. Box 610
Sheffield, AL 35660
Billing Phone
2563864005
Specialty Type
Family Practice
Map
Address