Contract Details
Ancillary Care Services
Facility name
MedEquip
Provider ID
P000006458
Tax ID
330592703
Effective Date
4/1/2012
Last Updated
10/11/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
6802 Paragon Place Suite 409
Richmond, VA 23230
United States
County
Henrico
Phone
8009443422 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address