Contract Details
Ancillary Care Services
Facility name
Monitor Medical
Provider ID
P000003800
NPI
1093723033
Tax ID
760338674
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
6201 Fairview Road Suite 1200
Charlotte, NC 28210
United States
County
Mecklenburg
Phone
7045991007 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address