Contract Details
JR Cochran Enterprises
Facility name
Amramp
Provider ID
P000008906
NPI
1225483746
Tax ID
812072836
Effective Date
7/17/2017
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_330
Location Details
Address
300 Vestavia Pkwy Suite 2300
Birmingham, AL 35216
United States
County
Jefferson
Phone
2053078062 (Phone)
Billing Details
Address
300 Vestavia Pkwy
Suite 2300
Birmingham, AL 35216
Billing Phone
2053078062
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address