Contract Details
Facility name
Hillco Medical, LLC
Provider ID
P000002195
Tax ID
621437392
Effective Date
12/16/2002
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
3/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
9202 South Northshore Drive Suite 100
Knoxville, TN 37922
United States
County
Knox
Phone
8652812472 (Phone)
Billing Details
Address
9202 South Northshore Drive
Suite 100
Knoxville, TN 37922
Billing Phone
8652812472
Specialty Type
Orthotics/Prosthetics, Services
Map
Address