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Contract Details
Ball HealthCare Services
Facility name
Arlington Rehabiliation & HealthCare Center
Provider ID
P000009108
NPI
1982985040
Tax ID
870697693
Effective Date
3/29/2018
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1020 Tuscaloosa Avenue SW
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057882544
(
Phone
)
Billing Details
Address
One Southern Way
Mobile, AL 36619
Billing Phone
2514339801
Specialty Type
Physical Therapy
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Address