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Contract Details
MCT, Inc.
Facility name
Physicians Home Health Superstore
Provider ID
P000002334
NPI
1578513545
Tax ID
631126150
Effective Date
11/15/2006
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
205 Broad Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565468820
(
Phone
)
Billing Details
Address
P.O. Box 1383
Gadsden, AL 35902
Billing Phone
2565468820
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address