Contract Details
Facility name
First Choice Healthcare
Provider ID
P000007683
NPI
1942636048
Tax ID
463629109
Effective Date
2/25/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
550 McQueen Smith Road North
Prattville, AL 36066
United States
County
Autauga
Phone
3343580320 (Phone)
Billing Details
Address
550 McQueen Smith Road North
Prattville, AL 36066
Billing Phone
3343580320
Specialty Type
Physical Therapy
Map
Address