Contract Details
Ancillary Care Services
Facility name
American Home Patient
Provider ID
P000006424
Tax ID
621556783
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
341 Industrial Lane
Oneida, TN 37841
United States
County
Scott
Phone
4235696488 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address