Contract Details
Ancillary Care Services
Facility name
Encore Respiratory
Provider ID
P000003957
NPI
1174628515
Tax ID
593641476
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3672 Highway 27 North
Sebring, FL 33870
United States
County
Highlands
Phone
8009360401 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address