Contract Details
Facility name
Family Chiropractic Services
Provider ID
P000004406
NPI
1386783298
Tax ID
203060422
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
216 North Main St Suite 3
Monticello, IA 52310
United States
County
Jones
Phone
3194652060 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address