Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine & Rehabilitation
Provider ID
P000002044
NPI
1659380160
Tax ID
043821114
Effective Date
4/2/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2470 Rocky Ridge Road
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