Contract Details
Facility name
DE Medical
Provider ID
P000007959
NPI
1841534195
Tax ID
461443414
Effective Date
7/16/2014
Last Updated
7/23/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4131 Carmichael Road Suite 8
Montgomery, AL 36106
United States
County
Montgomery
Phone
3344440535 (Phone)
Billing Details
Address
4131 Carmichael Road
Suite 8
Montgomery, AL 36106
Billing Phone
3344440535
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address