Contract Details
ColeidoScopes
Facility name
ColeidoScopes
Provider ID
P000008691
Tax ID
473095231
Effective Date
5/2/2017
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
15 Office Park Circle Suite 150
Mountain Brook, AL 35223
United States
County
Jefferson
Phone
2054965667 (Phone)
Billing Details
Address
15 Office Park Circle
Suite 150
Mountain Brook, AL 35223
Billing Phone
2054965667
Specialty Type
Massage Therapist
Map
Address