Contract Details
Direct Pay Provider Network
Facility name
CHAMPION SM - HUEYTOWN
Provider ID
P000000001
Tax ID
273151360
Effective Date
8/28/2023
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_522
Location Details
Address
3014 ALLISON BONNETT MEMORIAL DRIVE SUITES 144 AND 146
Hueytown, AL 35023-2394
United States
Phone
866-214-5920 (Phone)
Billing Details
Address
P.O. Box 1177
Fairhope, AL 36533
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address