Lori  R  Louis    MD
Contract Details
BHC Shelby Baptist Health Center--Pelham
Facility name
Provider ID
P000001014
NPI
1336242130
Tax ID
113779933
Effective Date
10/1/2013
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
30 Racquet Club Parkway
Pelham, AL 35124
United States
County
Shelby
Phone
2056201085 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2056201085
Specialty Type
Occupational Medicine
Map
Address