Contract Details
Facility name
Mobility Central
Provider ID
P000002268
NPI
1316982143
Tax ID
061711898
Effective Date
4/1/2010
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
400 Olde Towne Road
Birmingham, AL 35216
United States
County
Jefferson
Phone
2059160670 (Phone)
Billing Details
Address
400 Olde Towne Road
Birmingham, AL 35216
Billing Phone
2059160670
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address