Contract Details
Facility name
Durable Medical Equipment Rental & Sales
Provider ID
P000002092
NPI
1831196591
Tax ID
630768772
Effective Date
3/10/1997
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3600 5th Avenue South
Birmingham, AL 35222
United States
County
Jefferson
Phone
2055910817 (Phone)
Billing Details
Address
3600 5th Avenue South
Birmingham, AL 35222
Billing Phone
2055910817
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address