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Contract Details
M. Joseph & Associates, Inc.
Facility name
M. Joseph Medical
Provider ID
P000000001
NPI
1205228962
Tax ID
421690410
Effective Date
10/27/2020
Last Updated
11/9/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
11900 Brinley Avenue Suite 200
Louisville, KY 40243
United States
Phone
800-928-1050
(
Phone
)
Billing Details
Address
11900 Brinley Avenue
Suite 200
Louisville, KY 40243
Specialty Type
Durable Medical Equipment & Medical Supplies
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