Contract Details
Ancillary Care Services
Facility name
Kinex Medical Company
Provider ID
P000005466
NPI
1841321031
Tax ID
392012203
Effective Date
4/1/2012
Last Updated
9/27/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
4025 Pleasantdale Road Suite 450
Atlanta, GA 30340
United States
County
DeKalb
Phone
2625138440 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address