Contract Details
DME Tennessee, LLC
Facility name
DME of Dyersburg
Provider ID
P000003516
NPI
1295029726
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
1083 Vendall Road
Dyersburg, TN 38024
United States
County
Dyer
Phone
7312861000 (Phone)
Billing Details
Address
1083 Vendall Road
Dickson, TN 38024
Billing Phone
8886921080
Specialty Type
Durable Medical, Oxygen Equipment & Supplies
Map
Address