Contract Details
Ancillary Care Services
Facility name
Alliance Oxygen and Medical Equipment
Provider ID
P000003907
NPI
1144324245
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
1050 Corporate Avenue Unit 105
North Port, FL 34289
United States
County
Sarasota
Phone
8774234664 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address