Contract Details
Pomac Prosthetic & Orthotic Management
Facility name
Helen Hayes Hospital
Provider ID
P000005821
NPI
1700994043
Tax ID
113154194
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
55 South Route 9W
West Haverstraw, NY 10993
United States
County
Rockland
Phone
8457864000 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address