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Contract Details
One Call Care Management
Facility name
MSC Care Management
Provider ID
P000002241
NPI
1760462030
Tax ID
592997634
Effective Date
12/26/2006
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
841 Prudential Drive Suite 900
Jacksonville, FL 32246
United States
County
Duval
Phone
9046460199
(
Phone
)
Billing Details
Address
12552 Collections Central Drive
Chicago, IL 60693
Billing Phone
9046460199
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address