Contract Details
Facility name
Professional Medical, Inc.
Provider ID
P000002352
Tax ID
710893984
Effective Date
4/1/2004
Last Updated
9/3/2015
Direct Contract
Yes
Term Date
9/3/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8258 Highway 31 Suite A
Calera, AL 35040
United States
County
Shelby
Phone
2056689767 (Phone)
Billing Details
Address
8258 Highway 31
Suite A
Calera, AL 35040
Billing Phone
2056689767
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address