Contract Details
Ancillary Care Services
Facility name
Aerocare Home Medical
Provider ID
P000004196
NPI
1285675595
Tax ID
161655984
Effective Date
4/1/2012
Last Updated
10/18/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
106 East Crandall Avenue Suite B
Harrison, AR 72601
United States
County
Boone
Phone
8666261495 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address