Contract Details
Encore Rehabiliation, Inc.
Facility name
Encore Rehab of Columbia
Provider ID
P000008717
NPI
1508991514
Tax ID
631225408
Effective Date
1/1/1997
Last Updated
9/12/2019
Direct Contract
Yes
Term Date
8/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1215 Highway 98 E
Columbia, MS 39429
United States
County
Marion
Phone
6014445050 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address