Emily    Gilmore    RPT
Contract Details
TherapySouth--Birmingham-Liberty Park/Irondale
Facility name
Provider ID
P000007541
NPI
1598005407
Tax ID
273643259
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
3800 River Run Drive Suite 102
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059702350 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address