Contract Details
Gulf Coast Therapy
Facility name
Gulf Coast Therapy
Provider ID
P000003374
NPI
1134227416
Tax ID
631057933
Effective Date
1/19/2017
Last Updated
10/22/2019
Direct Contract
Yes
Term Date
10/8/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
21040 Miflin Rd. Suite 1
Foley, AL 36535
United States
County
Baldwin
Phone
2519230888 (Phone)
Billing Details
Address
9890 Twin Beech Rd.
Fairhope, AL 36532
Billing Phone
2519287312
Specialty Type
Physical Therapy
Map
Address