Joseph    Metz    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000008763
NPI
1114097540
Tax ID
352585937
Effective Date
6/19/2017
Last Updated
6/19/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
805 St. Vincent's Drive Ste G-100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2055082277 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address