Contract Details
Facility name
Hillside Medical Equipment, LLC
Provider ID
P000005632
NPI
1922230424
Tax ID
800400738
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
10664 Vista Del Sol Suite A
El Paso, TX 79935
United States
County
El Paso
Phone
9155931500 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address