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Contract Details
IPT--Birmingham-The Colonnade
Facility name
Provider ID
P000007251
NPI
1083658736
Tax ID
452150831
Effective Date
7/1/2011
Last Updated
8/7/2014
Direct Contract
Yes
Term Date
8/7/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
3439 Colonnade Parkway Suite 700
Birmingham, AL 35243
United States
County
Jefferson
Phone
2058799425 (Phone)
Billing Details
Address
P.O. Box 1569
Pelham, AL 35124
Billing Phone
8665357631
Specialty Type
Physical Therapy
Map
Address