Contract Details
Ancillary Care Services
Facility name
Hi-Tech Healthcare
Provider ID
P000004459
NPI
1407843196
Tax ID
581897161
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
105 Whitehead Road Suite 7
Athens, GA 30606
United States
County
Clarke
Phone
7066137144 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address