Sean    Hiller    RPT
Contract Details
Vulcan Performance Rehabilitation and Recovery
Facility name
Provider ID
P000009317
NPI
1578087698
Tax ID
822385885
Effective Date
2/8/2019
Last Updated
11/3/2020
Direct Contract
Yes
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
533 University Blvd. Building A
Birmingham, AL 35205
United States
County
Jefferson
Phone
2054714438 (Phone)
Billing Details
Address
533 University Blvd.
Building A
Birmingham, AL 35205
Billing Phone
2054714438
Specialty Type
Physical Therapy
Map
Address