Contract Details
Align Networks, Inc.
Facility name
Gulf Coast Therapy
Provider ID
P000003374
NPI
1134227416
Tax ID
043821114
Effective Date
2/2/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
21040 Miflin Road Suite 1
Foley, AL 36535
United States
County
Baldwin
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address