Contract Details
Vital Care Home Infusion Services
Facility name
H&M Drugs
Provider ID
P000002171
NPI
1891727111
Tax ID
630723432
Effective Date
8/25/2011
Last Updated
3/16/2015
Direct Contract
Yes
Term Date
12/24/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
17216 Highway 431
Wedowee, AL 36278
United States
County
Randolph
Phone
2563574614 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address