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Contract Details
Facility name
Encompass Health Rehabilitation Hospital of Phenix City
Provider ID
P000000001
NPI
1790754802
Tax ID
631280233
Effective Date
4/11/2019
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
3715 Highway 280
Phenix City, AL 36869
United States
Phone
334-732-2200
(
Phone
)
Fax
334-732-2202
Billing Details
Address
3715 Highway 280
Atlanta, GA 36869
Billing Phone
334-732-2200
Specialty Type
Hospital, Rehabilitation
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