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Contract Details
M. Joseph Respiratory Services, LLC
Facility name
M. Joseph Respiratory
Provider ID
P000008949
Tax ID
474968112
Effective Date
9/18/2017
Last Updated
3/27/2023
Direct Contract
Yes
Term Date
3/31/2023
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
11900 Brinley Avenue Suite 201
Louisville, KY 40243
United States
County
Jefferson
Phone
8889598588
(
Phone
)
Billing Details
Address
11900 Brinley Avenue
Suite 201
Louisville, KY 40243
Billing Phone
8889598588
Specialty Type
Durable Medical, Oxygen Equipment & Supplies
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