Contract Details
Ancillary Care Services
Facility name
Campbell Urgent Care
Provider ID
P000003664
NPI
1033235155
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
1855 Northeast 8th Street
Homestead, FL 33033
United States
County
Miami-Dade
Phone
3052428025 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address