Contract Details
Facility name
Hometown Medical Equipment
Provider ID
P000002200
NPI
1780646307
Tax ID
320044462
Effective Date
7/15/2006
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
80 North Forest Avenue
Luverne, AL 36049
United States
County
Crenshaw
Phone
3343356599 (Phone)
Billing Details
Address
P.O. Box 636
Luverne, AL 36049
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address