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Contract Details
TherapySouth--Pell City
Facility name
Provider ID
P000007528
NPI
1508165218
Tax ID
205365997
Effective Date
2/15/2012
Last Updated
12/19/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
85 Plaza Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2053386106 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address