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Kim
R
Paisley
MD
Contract Details
BHC Shelby Baptist Health Center--Calera
Facility name
Provider ID
P000008090
NPI
1811122138
Tax ID
412280729
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
206 Highway 304
Calera, AL 35040
United States
County
Shelby
Phone
2056680626
(
Phone
)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2056680626
Specialty Type
Family Practice
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Address