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Contract Details
M. Joseph & Associates, Inc.
Facility name
M. Joseph Medical
Provider ID
P000002238
Tax ID
611070548
Effective Date
8/25/2011
Last Updated
11/2/2020
Direct Contract
Yes
Term Date
10/26/2020
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
11900 Brinley Avenue Suite 200
Louisville, KY 40243
United States
County
Jefferson
Phone
8009281050
(
Phone
)
Billing Details
Address
11900 Brinley Avenue
Suite 200
Louisville, KY 40243
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address