Contract Details
Ancillary Care Services
Facility name
Gamma Healthcare
Provider ID
P000006154
Tax ID
431922303
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
2200 South Lamar Boulevard
Oxford, MS 38655
United States
County
Lafayette
Phone
6622367304 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address