Lisa  L  Oswald    RPT
Contract Details
First Choice Healthcare
Facility name
Provider ID
P000007682
NPI
1558538223
Tax ID
463629109
Effective Date
2/25/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
550 McQueen Smith Road North
Prattville, AL 36066
United States
County
Autauga
Phone
3343580320 (Phone)
Billing Details
Address
550 McQueen Smith Road North
Prattville, AL 36066
Billing Phone
3343580320
Specialty Type
Physical Therapy
Map
Address