Name: Champion Sports Medicine
Address: 1021 Montgomery Hwy Suite 200, Vestavia Hills, 35216, United States
Telephone: 205-971-3356

Contract Details

In Affiliation With Grandview Health

Facility name

Champion Sports Medicine

Provider ID

P000000001

NPI

1194398362

Tax ID

871812815

Effective Date

11/1/2021

Last Updated

2/25/2022

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

State Fee Schedule Multiplier

80.00

Location Details

Address

1021 Montgomery Hwy Suite 200

Vestavia Hills, AL 35216

United States

Phone

205-971-3356 (Phone)

Billing Details

Address

1021 Montgomery Hwy

Suite 200

Vestavia Hills, AL 35216

Billing Phone

Specialty Type

Physical Therapy

Map