Contract Details
Motion Parent, Inc.
Facility name
DJO, LLC
Provider ID
P000002075
NPI
1497731533
Tax ID
522165554
Effective Date
3/25/2011
Last Updated
3/4/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
599 Cardigan Road
Saint Paul, MN 55126
United States
County
Ramsey
Phone
8003282536 (Phone)
Billing Details
Address
P.O. Box 515471
Los Angeles, CA 90051
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address