Contract Details
Ancillary Care Services
Facility name
Oxygen Plus
Provider ID
P000003871
NPI
1124279807
Tax ID
061669749
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
300 North Limestone Street
Gaffney, SC 29340
United States
County
Cherokee
Phone
8644898835 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address