Christopher    Baker    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009302
NPI
1366840357
Tax ID
352585937
Effective Date
2/25/2019
Last Updated
1/29/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
833 St. Vincent's Drive Unit 1, Suite 100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2057303190 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address