Kim  P  Monk    RPT
Contract Details
HealthWorx
Facility name
Provider ID
P000007596
NPI
1679817415
Tax ID
452197019
Effective Date
6/19/2017
Last Updated
6/20/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
2124 4th Avenue South Suite 210
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059398877 (Phone)
Billing Details
Address
2124 4th Avenue South
Suite 210
Birmingham, AL 35233
Billing Phone
2059398877
Specialty Type
Physical Therapy
Map
Address