Contract Details
Facility name
Dynasplint Systems, Inc.
Provider ID
P000002093
NPI
1386643856
Tax ID
521262870
Effective Date
3/1/2007
Last Updated
4/30/2013
Direct Contract
Yes
Term Date
5/10/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
770 Ritchie Highway Suite W-21
Severna Park, MD 21146
United States
County
Anne Arundel
Phone
8006386771 (Phone)
Billing Details
Address
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address