Contract Details
Ancillary Care Services
Facility name
Air Affiliates
Provider ID
P000003979
NPI
1184732703
Tax ID
621166546
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
5201 Alabama Avenue
Nashville, TN 37209
United States
County
Davidson
Phone
6154600017 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address