Contract Details
All-Star Medical, LLC
Facility name
All-Star Medical
Provider ID
P000008918
NPI
1831160308
Tax ID
202642851
Effective Date
8/11/2017
Last Updated
8/17/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
128 N Broad St
Albertville, AL 35950
United States
County
Marshall
Phone
2568914545 (Phone)
Billing Details
Address
128 N Broad St
Albertville, AL 35950
Billing Phone
2568914545
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address