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Contract Details
IPT--Columbiana
Facility name
Provider ID
P000007273
NPI
1801093802
Tax ID
454446228
Effective Date
6/10/2013
Last Updated
11/8/2016
Direct Contract
Yes
Term Date
11/8/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
101 West College Street Suite 100
Columbiana, AL 35051
United States
County
Shelby
Phone
2056710190 (Phone)
Billing Details
Address
P.O. Box 1569
Pelham, AL 35124
Billing Phone
8665357631
Specialty Type
Physical Therapy
Map
Address