Contract Details
Ancillary Care Services
Facility name
Hi-Tech Healthcare
Provider ID
P000005480
NPI
1851538086
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
115 John Maddox Drive
Rome, GA 30165
United States
County
Floyd
Phone
7062901330 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address