Contract Details
Align Networks, Inc.
Facility name
Eagle Rehab
Provider ID
P000003364
NPI
1982614707
Tax ID
043821114
Effective Date
4/1/2013
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
900 Bob Wallace Avenue Southwest Suite 110
Huntsville, AL 35801
United States
County
Madison
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address