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Contract Details
TherapySouth Jasper
Facility name
Provider ID
P000000001
NPI
1972561470
Tax ID
830750721
Effective Date
8/1/2020
Last Updated
8/13/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
200 North Airport Road Suite 110
Jasper, AL 35504
United States
Phone
205-687-3266 (Phone)
Billing Details
Address
200 North Airport Road
Suite 110
Jasper, AL 35504
Billing Phone
205-687-3266
Specialty Type
Occupational Therapy
Map
Address