Contract Details
Facility name
Southern Patient Care
Provider ID
P000006685
Tax ID
582004338
Effective Date
10/10/2012
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
77.00
Location Details
Address
2518 Seller Drive Suite A-3
Meridian, MS 39301
United States
County
Lauderdale
Phone
8776804343 (Phone)
Billing Details
Address
2518 Seller Drive
Suite A-3
Meridian, MS 39301
Billing Phone
8776804343
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address