Contract Details
Vital Care Home Infusion Services
Facility name
Birmingham Vital Care
Provider ID
P000008936
NPI
1134502727
Tax ID
473796495
Effective Date
8/25/2017
Last Updated
8/25/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
300 Airport Commons Drive Suite 304
Calera, AL 35040
United States
County
Shelby
Phone
2056057633 (Phone)
Billing Details
Address
1170 NE Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address