Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine & Rehabilitation Center - Colonnade
Provider ID
P000002047
NPI
1871677120
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Term Date
2/17/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3427 Colonnade Parkway
Birmingham, AL 35243
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address