Contract Details
In Affiliation With Grandview Health
Facility name
Champion Sports Medicine
Provider ID
P000000001
NPI
1346813516
Tax ID
871812815
Effective Date
11/1/2021
Last Updated
2/25/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
592 Fieldstown Road Suite 114
Gardendale, AL 35071
United States
Phone
205-608-3606 (Phone)
Billing Details
Address
592 Fieldstown Road
Suite 114
Gardendale, AL 35071
Billing Phone
205-608-3606
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address