Contract Details
Ancillary Care Services
Facility name
Gamma Healthcare
Provider ID
P000006155
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
1991 Lakeland Drive
Jackson, MS 39216
United States
County
Hinds
Phone
6013210775 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address