Contract Details
Baptist Health Centers, Inc.
Facility name
Baptist Primary Care Forestdale
Provider ID
P000008072
NPI
1063476158
Tax ID
631120200
Effective Date
1/1/1996
Last Updated
2/4/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1480 Forestdale Boulevard
Birmingham, AL 35214
United States
County
Jefferson
Phone
2058209050 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35214
Billing Phone
2058209050
Specialty Type
Family Practice
Map
Address