Contract Details
Vital Care Home Infusion Services
Facility name
Hood's Vital Care
Provider ID
P000002201
NPI
1427153899
Tax ID
631047800
Effective Date
8/25/2011
Last Updated
10/14/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1816 45th Street
Valley, AL 36854
United States
County
Chambers
Phone
3347567387 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
Specialty Type
Home Infusion
Map
Address