Contract Details
Facility name
Jett Medical Company
Provider ID
P000002221
NPI
1073730602
Tax ID
571171953
Effective Date
9/17/2003
Last Updated
6/20/2017
Direct Contract
Yes
Term Date
2/16/2011
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_327
Location Details
Address
5511 Highway 280 Suite 312
Birmingham, AL 35242
United States
County
Shelby
Phone
2056788807 (Phone)
Billing Details
Address
P.O. Box 156
Chelsea, AL 35043
Billing Phone
2056788807
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address