Contract Details
Facility name
DME Services
Provider ID
P000002076
NPI
1417948258
Tax ID
760777815
Effective Date
6/1/2006
Last Updated
6/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3600 5th Avenue South Suite A
Birmingham, AL 35222
United States
County
Jefferson
Phone
2055914792 (Phone)
Billing Details
Address
3600 5th Avenue South
Suite A
Birmingham, AL 35222
Billing Phone
2055914792
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address