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Contract Details
Helen Keller Hospital
Facility name
Provider ID
P000000902
NPI
1538130166
Tax ID
630288825
Effective Date
7/15/2011
Last Updated
5/12/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_023
Location Details
Address
646 Cox Creek Parkway Suite A
Florence, AL 35631
United States
County
Lauderdale
Phone
2567601771 (Phone)
Billing Details
Address
P.O. Box 610
Sheffield, AL 35660
Billing Phone
2563864005
Specialty Type
Ophthalmology
Map
Address