Contract Details
Black Diamond North America, Inc.
Facility name
Black Diamond Services
Provider ID
P000002018
Tax ID
582509022
Effective Date
8/7/2000
Last Updated
10/7/2015
Direct Contract
Yes
Term Date
4/1/2011
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_116
Location Details
Address
P.O. Box 23458
Fort Lauderdale, FL 33307
United States
County
Broward
Phone
8006854789 (Phone)
Billing Details
Address
P.O. Box 23458
Fort Lauderdale, FL 33307
Billing Phone
8006854789
Specialty Type
Ambulance, Land
Map
Address