Ivana  B  Kajdos    MD
Contract Details
BHC Walker Primary Care
Facility name
Provider ID
P000008096
NPI
1215939301
Tax ID
800903113
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
3400 Highway 78 East Suite 321
Jasper, AL 35501
United States
County
Walker
Phone
2053850630 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2053850630
Specialty Type
Internal Medicine
Map
Address