Contract Details
Facility name
Saad Medical Equipment
Provider ID
P000002614
NPI
1649280165
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
10598 Diberville Boulevard Suite A
Diberville, MS 39540
United States
County
Harrison
Phone
2284325622 (Phone)
Billing Details
Address
1515 University Boulevard South
Mobile, AL 36609
Billing Phone
2513439600
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address