Contract Details
Facility name
Viking Medical Supply
Provider ID
P000002500
NPI
1629183314
Tax ID
631241098
Effective Date
12/1/2001
Last Updated
1/6/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_079
Location Details
Address
1201 3rd Avenue North
Birmingham, AL 35203
United States
County
Jefferson
Phone
205-488-3021 (Phone)
Billing Details
Address
1201 3rd Avenue North
Birmingham, AL 35203
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies