Anita    Lee    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009252
NPI
1679856488
Tax ID
352585937
Effective Date
11/5/2018
Last Updated
11/7/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
50 Commons Way Suite D
Oxford, AL 36203
United States
County
Calhoun
Phone
2566249722 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address