Contract Details
Facility name
Carlisle Medical
Provider ID
P000002032
NPI
1740491844
Tax ID
630890498
Effective Date
11/1/1998
Last Updated
10/27/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_227
Location Details
Address
501 Boulevard Park East
Mobile, AL 36609
United States
County
Mobile
Phone
2513447988 (Phone)
Billing Details
Address
P.O. Box 9814
Mobile, AL 36691
Billing Phone
2513447988
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address