Contract Details
Ancillary Care Services
Facility name
Alert Medical
Provider ID
P000005628
NPI
1922118116
Tax ID
650446308
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
12630 Metro Parkway
Fort Myers, FL 33966
United States
County
Lee
Phone
2392759200 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address