Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine & Rehabilitation - Oxford
Provider ID
P000002043
NPI
1619986247
Tax ID
043821114
Effective Date
4/2/2012
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/23/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2111 Highway 78 East
Anniston, AL 36207
United States
County
Calhoun
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address