Contract Details
Ancillary Care Services
Facility name
National Rehab Equipment
Provider ID
P000004113
NPI
1245408012
Tax ID
232736822
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1084 Bethelahein Boulevard
Wheeling, WV 26003
United States
County
Ohio
Phone
8004516510 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address