Contract Details
Ancillary Care Services
Facility name
F. W. Toenges & Sons
Provider ID
P000005564
NPI
1891806402
Tax ID
350712380
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
2415 Hobson Road
Fort Wayne, IN 46805
United States
County
Allen
Phone
2604844742 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address