Contract Details
Ancillary Care Services
Facility name
Ablecare
Provider ID
P000003590
NPI
1386830362
Tax ID
611251491
Effective Date
4/1/2012
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
537 Waller Avenue
Lexington, KY 40504
United States
County
Fayette
Phone
5028688844 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address