Contract Details
Facility name
Griffin, Inc.
Provider ID
P000002167
NPI
1316082670
Tax ID
630803310
Effective Date
12/1/2006
Last Updated
3/26/2014
Direct Contract
Yes
Status
Active
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
P.O. Box 560
Sipsey, AL 35584
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address