Contract Details
Facility name
Choice Medical
Provider ID
P000002053
NPI
1467486639
Tax ID
460481963
Effective Date
5/1/2006
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
189 Smoke Rise Trail
Warrior, AL 35180
United States
County
Jefferson
Phone
2056471965 (Phone)
Billing Details
Address
314 Erin Drive
Suite 102
Knoxville, TN 37919
Billing Phone
2056471965
Specialty Type
Durable Medical, Oxygen Equipment & Supplies
Map
Address