Contract Details
Vital Care Home Infusion Services
Facility name
C&M Vital Care
Provider ID
P000002029
NPI
1467486233
Tax ID
631054472
Effective Date
8/25/2011
Last Updated
10/14/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
5567 Highway 43
Satsuma, AL 36572
United States
County
Mobile
Phone
2516753228 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address