Contract Details
DME Tennessee, LLC
Facility name
DME of Nashville
Provider ID
P000003519
NPI
1598059024
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
636 Division Street
Nashville, TN 37203
United States
County
Davidson
Phone
6153751094 (Phone)
Billing Details
Address
636 Division Street
Dickson, TN 37203
Billing Phone
8886921080
Specialty Type
Durable Medical, Oxygen Equipment & Supplies
Map
Address