Pamela  M  Worthy    RPT
Contract Details
Rehab Associates--Bessemer-Morgan Village
Facility name
Provider ID
P000001905
NPI
1497787980
Tax ID
721379381
Effective Date
7/1/2011
Last Updated
2/8/2019
Direct Contract
Yes
Term Date
1/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8000 Liberty Parkway Suite 108
Birmingham, AL 35242
United States
County
Shelby
Phone
2054810670 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address