Contract Details
Ancillary Care Services
Facility name
Aerocare
Provider ID
P000004977
NPI
1629373527
Tax ID
593758015
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
1030 Juniper Lake Road Suite G
West End, NC 27376
United States
County
Moore
Phone
2668166928 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address