Contract Details
Ancillary Care Services
Facility name
Wecare Medical
Provider ID
P000005690
NPI
1952356735
Tax ID
753165381
Effective Date
4/1/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2826 Holt Street
Ashland, KY 41101
United States
County
Boyd
Phone
6063259222 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address