Contract Details
Facility name
Griffin, Inc.
Provider ID
P000002166
NPI
1568507820
Tax ID
630803310
Effective Date
12/1/2006
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
817 Princeton Avenue Southwest Suite 107
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057851131 (Phone)
Billing Details
Address
817 Princeton Avenue Southwest
Suite 107
Sipsey, AL 35211
Billing Phone
2057851131
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address