Contract Details
Ancillary Care Services
Facility name
American Home Patient
Provider ID
P000006407
Tax ID
621578458
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
1668 Herlong Court Suite 100
Rock Hill, SC 29732
United States
County
York
Phone
8033666666 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address