Contract Details
Facility name
L & L Medical
Provider ID
P000002226
NPI
1023161668
Tax ID
631060091
Effective Date
5/1/2004
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
250 Governors Drive Southeast Suite C
Huntsville, AL 35801
United States
County
Madison
Phone
2565332239 (Phone)
Billing Details
Address
250 Governors Drive Southeast
Suite C
Huntsville, AL 35801
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address