Contract Details
Ancillary Care Services
Facility name
Oxygen Plus
Provider ID
P000005229
NPI
1730330978
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
1758 Highway 48
Clarksville, TN 37040
United States
County
Montgomery
Phone
9315522690 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address