Contract Details
Ancillary Care Services
Facility name
Aerocare
Provider ID
P000004271
NPI
1326009309
Tax ID
320128448
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
9741 Southern Pine Boulevard Suite 1
Charlotte, NC 28273
United States
County
Mecklenburg
Phone
7045400909 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address