Contract Details
Ancillary Care Services
Facility name
MER, Inc.
Provider ID
P000005266
NPI
1750482220
Tax ID
582317253
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
340 Dashing Wave Lane
Alpharetta, GA 30005
United States
County
Fulton
Phone
8886377595 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address