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Contract Details
Facility name
Encompass Health Rehabilitation Hospital of Dothan
Provider ID
P000000001
NPI
1770556482
Tax ID
631097851
Effective Date
4/10/2019
Last Updated
5/24/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1736 East Main Street
Dothan, AL 36301
United States
Phone
334-712-6333
(
Phone
)
Fax
334-712-9816
Billing Details
Address
1736 East Main Street
Atlanta, GA 36301
Billing Phone
334-712-6333
Specialty Type
Hospital, Rehabilitation
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