Milka  E  Martinez Arache    MD
Contract Details
BHC Hospitalists--Citizens Baptist Medical Center
Facility name
Provider ID
P000001065
NPI
1306162250
Tax ID
630925859
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
604 Stone Avenue
Talladega, AL 35160
United States
County
Talladega
Phone
2567614458 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2567614458
Specialty Type
Family Practice
Map
Address