Contract Details
Ancillary Care Services
Facility name
Alpert's Medical Equipment & Supply
Provider ID
P000005196
NPI
1720088925
Tax ID
550639629
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
89 West Piedmont Street
Keyser, WV 26726
United States
County
Mineral
Phone
3047882080 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address