Contract Details
Ancillary Care Services
Facility name
Isokinetics
Provider ID
P000005218
NPI
1730186735
Tax ID
710793997
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
995 Polk Road Suite 1
Grannis, AR 71944
United States
County
Polk
Phone
8703862144 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address