Contract Details
Ancillary Care Services
Facility name
Oxygen Plus
Provider ID
P000004134
NPI
1255529038
Tax ID
550793269
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
110 Oak Crest Drive
Marion, NC 28752
United States
County
McDowell
Phone
8286598222 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address