Contract Details
DME Tennessee, LLC
Facility name
DME of Dickson
Provider ID
P000003515
NPI
1326331612
Tax ID
271770454
Effective Date
6/20/2012
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
760 Highway 46 South
Dickson, TN 37055
United States
County
Dickson
Phone
8886921080 (Phone)
Billing Details
Address
760 Highway 46 South
Dickson, TN 37055
Billing Phone
8886921080
Specialty Type
Durable Medical, Oxygen Equipment & Supplies
Map
Address