Stacey    Cole    RPT
Contract Details
M3 Endeavor
Facility name
Provider ID
P000000001
NPI
1619533510
Tax ID
473586611
Effective Date
8/1/2024
Last Updated
8/16/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
8331 Gadsden Highway
Trussville, AL 35173
United States
Phone
205-613-6675 (Phone)
Billing Details
Address
8331 Gadsden Highway
Trussville, AL 35173
Billing Phone
205-613-6675
Specialty Type
Physical Therapy
Map
Address