Contract Details
Ancillary Care Services
Facility name
Calhoun Home Health
Provider ID
P000003795
NPI
1083927636
Tax ID
273097688
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
132 North Commerce Street
Port Lavaca, TX 77979
United States
County
Calhoun
Phone
3615526367 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Home Health
Map
Address