Joshua    Vacik    MD
Contract Details
Helen Keller Hospital
Facility name
Provider ID
P000001777
NPI
1770582371
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
1100 South Jackson Highway Suite 150-A
Sheffield, AL 35660
United States
County
Colbert
Phone
2563834447 (Phone)
Billing Details
Address
P.O. Box 610
Sheffield, AL 35660
Billing Phone
2563864005
Specialty Type
Internal Medicine
Map
Address