Contract Details
Ancillary Care Services
Facility name
Summit HME
Provider ID
P000005683
NPI
1952301608
Tax ID
742827836
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
1070 Arion Circle Suite 164
San Antonio, TX 78216
United States
County
Bexar
Phone
2105219800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address