Contract Details
Ancillary Care Services
Facility name
Oxygen Plus
Provider ID
P000005148
NPI
1700074580
Tax ID
061669749
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3529 Brainerd Road
Chattanooga, TN 37411
United States
County
Hamilton
Phone
4236244062 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address