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
5/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
301 Perry Avenue
Dothan, AL 36303
United States
County
Chambers
Phone
3347567387 (Phone)
Billing Details
Address
1170 NE Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address