Contract Details
All-Star Medical, LLC
Facility name
All-Star Medical
Provider ID
P000008920
NPI
1528208139
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
2106 AL Highway 157
Cullman, AL 35058
United States
County
Cullman
Phone
2567757675 (Phone)
Billing Details
Address
2106 AL Highway 157
Cullman, AL 35058
Billing Phone
2567757675
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address