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
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address