Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
BenchMark Physical Therapy - Phenix City
Provider ID
P000008416
NPI
1790159887
Tax ID
300714977
Effective Date
6/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5009 River Chase Drive Suite 100-C
Phenix City, AL 36867
United States
County
Russell
Phone
3342980650 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address