Conan    Brooks    RPT
Contract Details
Rehab Associates--Montgomery-Jackson Hospital
Facility name
Provider ID
P000000201
NPI
1154367365
Tax ID
463294990
Effective Date
1/1/2014
Last Updated
12/20/2016
Direct Contract
Yes
Term Date
12/14/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1215 Mulberry Street
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342626161 (Phone)
Billing Details
Address
P.O. Box 11407
Drawer 5542
Birmingham, AL 35246
Billing Phone
3342626161
Specialty Type
Physical Therapy
Map
Address