Contract Details
Ancillary Care Services
Facility name
Aerocare Home Medical
Provider ID
P000005315
NPI
1770767188
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
5401 Central Avenue Suite B
Hot Springs, AR 71913
United States
County
Garland
Phone
5015254228 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address