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Contract Details
Facility name
Griffin, Inc.
Provider ID
P000002167
NPI
1316082670
Tax ID
630803310
Effective Date
12/1/2006
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
860 Montclair Road Suite 463
Birmingham, AL 35213
United States
County
Jefferson
Phone
2055957820
(
Phone
)
Billing Details
Address
860 Montclair Road
Suite 463
Sipsey, AL 35213
Billing Phone
2055957820
Specialty Type
Durable Medical Equipment & Medical Supplies
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