Contract Details
Ancillary Care Services
Facility name
Respiratory At Home
Provider ID
P000004970
NPI
1629163506
Tax ID
621788912
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
1850 Memorial Boulevard Suite 201
Murfreesboro, TN 37129
United States
County
Rutherford
Phone
9313805368 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address