Contract Details
Rehab Associates, LLC
Facility name
Champion Sports Medicine
Provider ID
P000000001
NPI
1033886486
Tax ID
721379381
Effective Date
11/29/2021
Last Updated
1/26/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2980 Highway 78E
Jasper, AL 35501
United States
Phone
205-384-1941 (Phone)
Billing Details
Address
P.O. Box 536889
Atlanta, GA 30353
Billing Phone
205-384-6362
Specialty Type
Physical Therapy
Map
Address