Contract Details
Oak Ridge Health Systems, Inc.
Facility name
Oak Ridge Home Medical
Provider ID
P000002288
NPI
1568565075
Tax ID
631075115
Effective Date
8/25/2011
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
4180 Oak Ridge Avenue Suite A
Mobile, AL 36619
United States
County
Mobile
Phone
2516660891 (Phone)
Billing Details
Address
P.O. Box 5047
Meridian, MS 39302
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address