Contract Details
Facility name
Saad Medical Equipment
Provider ID
P000002387
NPI
1043220544
Tax ID
630829528
Effective Date
7/15/2009
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6450 Highway 90 Suite F
Spanish Fort, AL 36527
United States
County
Baldwin
Phone
2516267792 (Phone)
Billing Details
Address
1515 University Boulevard South
Mobile, AL 36609
Billing Phone
2513439600
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address