Debra  L  Powell    RPT
Contract Details
HealthActions, P.A.
Facility name
Provider ID
P000001387
NPI
1720070485
Tax ID
630815380
Effective Date
9/20/2007
Last Updated
4/16/2015
Direct Contract
Yes
Term Date
5/16/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1711 College Avenue
Jackson, AL 36545
United States
County
Clarke
Phone
2512465761 (Phone)
Billing Details
Address
P.O. Box 37
Jackson, AL 36545
Billing Phone
2512465761
Specialty Type
Physical Therapy
Map
Address