Contract Details
Ancillary Care Services
Facility name
American Home Patient
Provider ID
P000006406
Tax ID
621650186
Effective Date
4/1/2012
Last Updated
10/18/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
127 Corporate Lane
Columbia, SC 29223
United States
County
Richland
Phone
8037146544 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address