Contract Details
Aerocare
Facility name
Aerocare Home Medical Equipment, Inc
Provider ID
P000004849
NPI
1578500088
Tax ID
760662107
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3011 South Fannin Ave
Denison, TX 75020
United States
County
Grayson
Phone
8666404055 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address