Henry    Davis    RPT
Contract Details
M3 Endeavor
Facility name
Provider ID
P000000001
NPI
173840554
Tax ID
473586611
Effective Date
12/27/2022
Last Updated
1/27/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2748 Alton Road Suite 100
Irondale, AL 35173
United States
Phone
833-207-6389 (Phone)
Billing Details
Address
7040 Gadsden Highway
Suite 100
Trussville, AL 35173
Billing Phone
205-508-3811
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address