Contract Details
Ancillary Care Services
Facility name
Procare Medical
Provider ID
P000005831
Tax ID
431796291
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
400 Carlson Street
Trumann, AR 72472
United States
County
Poinsett
Phone
5736952203 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address