Contract Details
Ancillary Care Services
Facility name
Kinex Medical Company
Provider ID
P000006182
Tax ID
392012203
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
10806 Reames Road Suite U
Charlotte, NC 28269
United States
County
Mecklenburg
Phone
2625138440 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address