Contract Details
Hasco Medical, Inc.
Facility name
Southern Medical and Mobility
Provider ID
P000002423
NPI
1518951599
Tax ID
431952982
Effective Date
5/1/2004
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1416 West I-65 Service Road South
Mobile, AL 36693
United States
County
Mobile
Phone
2516334133 (Phone)
Billing Details
Address
1416 West I-65 Service Road South
Mobile, AL 36693
Billing Phone
2516334133
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address