Contract Details
Facility name
Saad Medical Equipment - University
Provider ID
P000002616
NPI
1972880748
Tax ID
630829528
Effective Date
7/15/2009
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1515 University Boulevard South
Mobile, AL 36609
United States
County
Mobile
Phone
2513432990 (Phone)
Billing Details
Address
1515 University Boulevard South
Mobile, AL 36609
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address