Contract Details
Facility name
S. Baker Medical
Provider ID
P000002383
NPI
1538118278
Tax ID
260015059
Effective Date
9/15/2005
Last Updated
8/26/2014
Direct Contract
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3280 Dauphin Street Suite C-123
Mobile, AL 36606
United States
County
Mobile
Phone
2514789697 (Phone)
Billing Details
Address
3280 Dauphin Street
Suite C-123
Mobile, AL 36606
Billing Phone
Specialty Type
Orthotics/Prosthetics, Services
Map
Address