Contract Details
Adams Air Ambulance, Inc.
Facility name
Medway Air Ambulance
Provider ID
P000002255
NPI
1962619817
Tax ID
581812982
Effective Date
11/15/2001
Last Updated
6/24/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
570 Briscoe Boulevard Suite 103
Lawrenceville, GA 30042
United States
County
Gwinnett
Phone
7709631412 (Phone)
Billing Details
Address
PO Box 490907
Lawrenceville, GA 30049
Specialty Type
Ambulance, Air
Map
Address