Contract Details
Ancillary Care Services
Facility name
Nationshealth
Provider ID
P000005742
NPI
1972564276
Tax ID
651122695
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2955 West Corporate Lakes Boulevard Suite 400
Weston, FL 33331
United States
County
Broward
Phone
8002461169 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address