Contract Details
Vital Care Home Infusion Services
Facility name
Druid City Vital Care
Provider ID
P000008322
NPI
1306277397
Tax ID
463803821
Effective Date
9/15/2015
Last Updated
10/14/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
611 McFarland Boulevard Suite C
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2054099601 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address