Contract Details
Vital Care Home Infusion Services
Facility name
QRC Vital Care
Provider ID
P000007475
NPI
1487789244
Tax ID
203613865
Effective Date
8/25/2011
Last Updated
10/14/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
14965 Highway 59 Suite 101
Foley, AL 36536
United States
County
Baldwin
Phone
2519475593 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address