Contract Details
Facility name
Alameda Fitness & Rehab Center
Provider ID
P000004238
NPI
1306808134
Tax ID
800062310
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
5017 Saratoga Blvd Suite 139
Corpus Christi, TX 78413
United States
County
Nueces
Phone
3618144800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address