Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Blue Ridge
Provider ID
P000008783
NPI
1669855086
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
990 E Main St Suite 7
Blue Ridge, GA 30513
United States
County
Fannin
Phone
7069462035 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7069462035
Specialty Type
Physical Therapy
Map
Address