Contract Details
Ancillary Care Services
Facility name
Alliance Oxygen and Medical Equipment
Provider ID
P000003901
NPI
1144248873
Tax ID
593641476
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1455 Railhead Road Suite 28
Naples, FL 34110
United States
County
Collier
Phone
8006895512 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address